New Membership Application

PLACENTIA ROUND TABLE MEMBERSHIP APPLICATION 2007-2008

Name (Please Print):______________ ___________________Spouse_________________ _____________________Birth. Date:________ 

Address:________________________________________________________________ Telephone :_________________________ 

City/State/Zip Code: ______________________________E-mail:_________________________________ 

MEMBERSHIP

To activate your new membership into the club, the cost is $65.00. This amount covers an initiation fee, membership pin and dues to the district. If you should be joining after November 30^th, the new membership is $45.00. Subsequent yearly membership is $45.00. 

TO BE AN ACTIVE MEMBER IN GOOD STANDING, I AGREE TO:

• I attend at least one general meeting (general meetings are the First Wednesday, October through June)

• I serve on a luncheon committee once during the Club year
• I will be an active member of a working ways and means committee
• I will financially support and participate in a major ways and means function.

SIGNATURE________________________________________________________ 

CHOICE OF WAYS AND MEANS :

MUST CHECK AT LEAST ONE,  MAY CHECK MORE. 

____Heritage Festival ____Friendship Soup Mix Production ____Bunco ____Festival of the Trees ____Several Small Projects 

OPTIONAL SECTIONS:

I wish to belong to the following Sections: (Choose as many as you wish.) 

____Bookworms ____Bridgettes ____Craft and Stitches ____Gourmet ____Gadabouts ____Maj Jongg ____Nights ____Tech Chix 

The Club year is October through June. The Club is dark July, August and September. 

SIGNATURE:___________________________________ DATE:__________________ 

Tell us a little about your interests, accomplishments, family and other club affiliation.

Single:_____ Married:______ No. of Children:______ No. of Grandchildren: ______ 

Hobbies:________________________________________________________________

Interests:_______________________________________________________________________

Please mail to: Placentia Round Table Women's Club
                       P.O. Box 334, Placentia, CA 92871