Membership Application :

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Yearly Dues (July 1 -June 30):$70

Name: ____________________

Address: ___________________

City: ____________________ State:___ Zip Code:______ 

Email: ____________________

Work Phone: ____________________Cell: ____________________

Occupation: ____________________ 

Spouse's Name: ____________________

Birth date (month/day only): ________________

I would be interested in serving on the following committee(s):

___Finance 

___Philanthropy

 ___Correspondence 

___Historian

 ___Photographer 

___Welcoming 

___Membership 

___Programs 

___Publicity 

___Social 

___Social Media 

___Symphony of Foods (SOF)

Do you have any special skills you would like to offer to a committee? ___________________________________________________________________________- 

• THANK YOU FOR JOINING!