NEWCOMERS & NEIGHBORS

                           MEMBERSHIP APPLICATION

                                                    (Print this form using your browser print function)

 

Date: ___/___/___

Name: ____________________________________Spouse's Name:____________________________

Address 1:___________________________________________________________________________

Address 2:___________________________________________________________________________

City: ____________________ Zip: ________ Home Phone: _____________Cell Phone:_____________

E-Mail: ________________________________________ Moved From: __________________________

Your Birthday (month and day only): __________________________

Children's Names & Birth Dates: __________________________ ___/___/___
Children's Names & Birth Dates: __________________________ ___/___/___
Children's Names & Birth Dates: __________________________ ___/___/___
Children's Names & Birth Dates: __________________________ ___/___/___
Children's Names & Birth Dates: __________________________ ___/___/___

Please Check off Any Activities you are Interested In (Check all that apply):

 

□ Book Club - Daytime   □Pub Night   □Walk It Off     □Spontaneity Group      □ Stitch & Chat     □Moms & Kids

□Book Club - Evening    □Lunch Bunch       □On the Town      □Cooking Club      □Mah-Jongg    □Chick Flicks    □Socials

□Nine Hole Golf        □Wine Tasting           □Girls Night Out    □Drop In Coffee     □Couples Euchre    □Men's Poker Night

 

How did you hear about us? ______________________________________________________________________________________________
Any other comments?_________________________________________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________
______________________________________________________________________________________________

I would like the information contained on this form to be included in the Newcomers & Neighbors annual directory.

Please make checks payable to Newcomers & Neighbors
$40 annual membership fee - $20 from January 15th through May 31st.

Mail to Rose Ross, VP Membership, 700 Cleveland Ave, Hinsdale, IL 60521.
Please feel free to call Rose at 630-323-0006.

Database info and directory will not be released to non-members or be used for any purpose other than N&N notices (with Board approval).