MEMBERSHIP APPLICATION

 GFWC GULF COAST WOMAN'S CLUB, INC.

PANAMA CITY, FLORIDA 32406

Date Submitted______________Date of Birth (M/Y)_____________________________

 Full Name_____________________________________________________________

                 (First)                                              (Middle)                     (Last)

 Husband's Name_________________________________________________________

 Home Address___________________________________________________________

 ______________________________________________________________________

 Mailing Address(if different)_________________________________________________

 E-Mail Address__________________Phone Numbers____________________________

Occupation______________________________________________________________

                    (Former occupation if applicable)

 Sponsors*

1._____________________________________________________________

2._____________________________________________________________

 This application must be signed by 2 active members and given to the Membership Chairperson. 

Yearly dues are collected in April of each year for the next 12 months.

New Member Dues of $60.00 (prorated based on how many months remain in the club year) and Induction Fee of $10 must be paid before Induction.  Make Checks payable to Gulf Coast Woman's Club, Inc. and mail or deliver to the attention of Membership Chairperson. at the above address.

 

For Club Membership Chairperson

Date Received_______________________Dues Paid_______________

Orientation___________________Induction______________________

Department_________________________________________________