APPLICATION FOR MEMBERSHIP – 2007-2008
Name:
______________________________________________________________________________________
Last First Initial Maiden
Street Address:
_______________________________________________________________________________
City:
Telephone No.:
Home: _________________________
Work: ________________________________________
e-mail:
_______________________________________________________________________________
Canadian Connection (birthplace or other):
_______________________________________________________
Spouse’s Name:
______________________________ Your Birth Month: _______________________________
Would you like your newsletter sent by e-mail?
__________ Yes, please __________ No, thank you
_____________________________________________________________________________________________
WOULD YOU BE INTERESTED IN SERVING ON A
COMMITTEE? Yes _________ Not Now
__________
If yes, which one?
_____ Charitable Fund _____ Finance ____
_____ Membership _____ Newsletter _____ Outreach _____
Program _____ Telephone
Other
_______________________________________________________________________________________
WHAT TYPE OF PROGRAMS WOULD INTEREST YOU?
_____ Art _____ Book Club _____ Business _____
Canadian Related Topics _____ Cooking
_____ Daytime Activities _____ Decorating _____
Fashion _____ Finance _____ International Affairs
_____ Investing ____ Music _____ Science and Medicine
____ Sports _____ Theatre
Other
_______________________________________________________________________________________
COMMENTS ABOUT PROGRAMS THIS PAST
YEAR____________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
ANNUAL MEMBERSHIP DUES: $50.
PLEASE MAKE CHECK PAYABLE TO: CANADIAN WOMEN’S CLUB OF BOSTON, INC.
AND MAIL TO:
c/o Kitty Scott, 9 Bishop's Forest Drive,
Contact:
Kitty Scott at (781) 891-7676