Membership Application
Please check one: New
Member _____
Returning Member _____
Name ____________________________ Birthday
_____________________
Address
______________________________________________________________
Home Phone
_______________________ Cell
Phone ____________________
Work Phone
_______________________ Fax
_________________________
E-mail Address
_________________________________________________________
Do you have
Internet access to receive the Newsletter? Yes
______ No ______
Spouse’s
Name _________________________________________________________
Children’s
Names and Ages ________________________________________________
Occupation
____________________________________________________________
Please list any
resources you may be able to provide to AJWC, such as copying, design, typing,
photography, baking, phone calls, etc…
____________________________________________________________________
Your signature
____________________________ Date
________________________
New member dues are $30. Returning member dues are $25. Dues must be paid no later than the October general meeting. Please make your check payable to AJWC and return it with this application to the membership chairperson. You may also mail your check and application to the address given below.
AJWC
P. O. Box 131
Avon, Ohio 44011
Every month,
membership spotlights a returning member and a new member in the
newsletter. Please complete the
information below and submit it with your application. This information may be published in
our newsletter. Personal
information, such as address, phone numbers, and e-mail address, will not be
published.
Name:
____________________________________________________
Favorite Food:
______________________________________________
Favorite
Movie:
_____________________________________________
Hobbies:
__________________________________________________
Likes:
____________________________________________________
Dislikes: __________________________________________________
Pet Peeves:
________________________________________________
What people may
not know about me:
_____________________________
__________________________________________________________