NEWCOMER WOMEN’S CLUB OF NE SUBURBAN ATLANTA

MEMBERSHIP APPLICATION

Today’s Date_____________

*Denotes Required Information

To be sure that we have the most up-to-date information, please complete all fields.
Please PRINT CLEARLY! Complete all information. Place an “X” on the line for
information you do NOT wish to provide.

*Last Name____________________ Home Address________________________

*First Name____________________ City_________________________________

Spouse Name___________________ Zip Code____________________________

Home Phone____________________ Subdivision__________________________

Cell Phone______________________ Email Address________________________

Birthday (mm/dd)________________ Newsletter sent via email (circle one) YES NO
(There is a $5. charge for having it sent to your home.)

Place an “X” next to the activities you wish to participate in this year or receive more
information about.

**Antiquing______ Bunco, Evening_______ Daytime Book Review_____

Bowling__________ Canasta, Daytime______ Evening Book Review_____

Bridge___________ Canasta, Evening______ Needlework______________

Bunco, Daytime___ Chix Flix______________ See Georgia First_________

Sunday Pot Luck_____

**Activity is currently inactive. Needs a Chairperson. Will resume when someone comes
forward. Are you interested and are you interested in starting another activity?
_________________________________________________________________________

Mail completed application with a check made out to NWC for $30.00 for membership
dues and $35.00 if you want the newsletter sent to your home to:
P. O. BOX 2928, SUWANEE, GEORGIA 30024