River City Shag Club
Down by the Sound
Reminder, dues are due by June 30. Renewals are $20.00. New membership is $25.00. Applications will be available at the social and on website.
Thanks, Joan Moore, President
Membership Application
Name: ______________________________
Home Phone: __________________Cell: __________________ Work Phone: ________________
E-Mail:_______________________
Name: ______________________________
Home Phone: ___________________Cell: __________________ Work Phone: ________________
E-Mail:_______________________
Home Address: ______________________________
City: ______________________________
__ Check here to have the monthly newsletter sent by email
__ Check here to have the monthly newsletter sent to your address
Occupation: (His) ______________________________
Occupation: (Hers)________________________
Hobbies_______________________
Make Check Payable To: River City Shag Club
Mail Check and Application To:
Treasurer, River City Shag Club, P. O. Box 426, Camden, N. C. 27921
To help us know your talents, please indicate by checking any of the following that you can contribute to the club during the year:
__computer __arts/crafts __photography __music __funding raising __telephoning
Are you available mostly: __weekends __evenings __day.
Signature: ______________________________
Date Received by Membership____________ Cards Mailed ___________ Updated 3/31/2010
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