| |
| New Member:
|
|
|
| If continuing member, enter number
of years: |
|
New Resident:
|
|
| Name of first applicant: |
|
Birth month/day:
|
|
| Name of second applicant: |
|
Birth month/day:
|
|
| Number of children in household:
|
|
|
| Date of birth for each child: |
|
| Address:
City:
|
|
| State:
|
ZIP:
|
Phone:
|
|
| Fax:
|
Employer:
|
Email:
|
| Moved from:
|
When? (Month/Year):
|
|
|
Please check all the activities you would like to join or receive
a call about. (*
= active activity)
" FEEL FREE TO ATTEND UP TO TWO
EVENTS PRIOR TO JOINING!
|
|
*Adventure |
*Parent & Kids |
|
*Attend Monthly Programs |
Recipe Exchange |
|
*Book Review (Day) |
*Scrapbooking and Stamping |
|
*Book Review (Evening) |
Singles |
|
*Bowling |
Ski: Cross-Country/Downhill |
|
*Bridge |
*Stitch & Chat |
|
*Bunco |
Tennis |
|
*Coffee |
Walking |
|
*Coffee with Kids |
|
|
*Dealer's Choice (games) |
|
|
*Dining Out (Lunch) |
|
|
*Dining Out (Evening) |
List ideas for monthly programs |
|
*Dining In (Evening) |
or activities you would like to activate, |
|
*Girls Night Out |
start, or help out: exp:Internet users |
|
Golf |
|
|
FEEL FREE TO
ATTEND UP TO TWO EVENTS PRIOR TO JOINING! |
Please check any or all of the following to help meet new friends:
|
Serve or assist on the Newcomers' future board:
|
|
If new, did you receive Info/Coupon Folder?
Yes
No
How did you hear of Newcomers?
Referred by:
Phonebook
Mail
Work
Other:
|
|
|
Annual Dues: $25 (June 1 - May 31)
[includes newsletters, postage, printing, supplies, etc.]
Please make checks payable to: "Newcomers"
Mail to: P.O. Box 8261, Green Bay, WI 54308
|
Contact
Information |
