MEMBERSHIP APPLICATION
___NEW _____RENEWAL
DATE______________________
S.S#________________________
NAME_________________________________________DATE
OF BIRTH__________
ADDRESS______________________________________________________________
NEXT OF
KIN___________________________________________________________
ADDRESS______________________________________________________________
PHONE_________________________________________________________________
EMPLOYED
BY_________________________________________________________
BUSINESS
PHONE_______________________________________________________
SPONSORED TO THE CLUB BY: (Give
two club member names)
1.______________________________________________________________________
2.______________________________________________________________________
LIST THE NAMES
OF ANY OTHER CLUBS OR ORGANIZATIONS THAT YOU BELONG TO:
CONDITIONS OF
MEMBERSHIP
1. Minimum of
5 hours of service to club pre year or $20.00 penalty.
2. No alcohol
or self induced intoxicants on club property.
ALL
APPLICATION WILL BE VOTED UPON AT CLUB MEETING AND NOTIFIED OF ACCEPTANCE.
Singers Glen
Bow Benders Dues------------------------------------$_______________
_____Check here if NFAA
SIGNED_____________________________
___________________________________________________________________________
(For Office
Use Only)
NAME______________________________________
DATE_________________________
AMOUNT RECEIVED___________________ RECEIVED BY_______________________