Application for Membership
APPLICATION FOR MEMBERSHIP
JUNIOR WOMAN'S CLUB OF
NEWPORT NEWS, INC.
Date - __________________________________________________
Membership Chairman:
I hereby apply for membership in the Junior Woman's Club of Newport News.
Name - _________________________________________________
Spous's Name - _________________________________________
Address - _______________________________________________
_______________________________________________________
Telephone; (Home)_______________ (Work)__________________
E-Mail Address - __________________________________________
Age - ______________ Date of Birth - ________________________
Registered Voter; Yes _____________ No ____________________
Occupation - ____________________________________________
Where Educated - ________________________________________
Past Club Experience - _____________________________________
________________________________________________________
Special Interests in Club - __________________________________
________________________________________________________
Signature _______________________________________________
