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MEMBERSHIP APPLICATION |
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| Name | ______________________________________________________________ |
| Home Address | _____________________________________________________________ |
| City/State/Zip | _______________________________________/___________/_________ |
| Home phone | ______________________________________________________________ |
| Cell phone | ______________________________________________________________ |
| E-Mail Address | ______________________________________________________________ |
| ACTIVE MEMBERSHIP | |
| New member | $80 (includes a one-time $25 application fee). |
| Transfer from Federated Woman's Club | If you are a transfer from another Federated Woman's Club, please tells us the year you joined an FWC __________. |
| ASSOCIATE MEMBERSHIP | ______________________________________________________________ |
| Corporate: $200 | |
| Patron: $150 | |
| Dues--Individual: $85 (This includes State per Capita Tax) | |
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(CHECK ONE) |
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| SPONSOR - if you have one/not needed to apply | ______________________________________________________________ |
| Birthday (Month and Day) | _____________ |
| Applicant's Signature | ______________________________________________________________ |
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For more information call the Club at (561) 369-2300. The office is open weekdays 9 a.m. until noon. If no one answers the phone, please leave a message. |
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| Make checks payable to BOYNTON WOMAN'S CLUB - Print and Mail Form to P.O. Box 1135, Boynton Beach, FL 33425 | |
