Date *

MM

DD

YYYY

New Member Full Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

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Nominating Member's Contact *

(###)

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Agreement to Membership Requirements *

Attend a minimum of 3 meeting annually Payment of annual dues $200 per year Purchase 1 ticket to the Fall Extravganza Volunteer for 1 Event shift if not serving on a committee. Senior Debutante Nomination : Active member in good standing for 5 years. Current on all financial obligations. Junior Debutante Nomination : Active member in good standing for 2 years . Current on all financial obligations.

I agree