NEW MEMBER APPLICATION
Members having friends who wish to become members of the Lockport Woman's Club may print and fill in this form and mail it to the Membership Chairman for consideration by the Board of Directors.
Membership Chairman
Lockport Woman's Club
PO Box 256
Lockport, IL 60441
I wish to propose for membership in LWC:
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| Name: _________________________________________________________ |
| Husbands First Name: _____________________________________________ |
| Address: _______________________________________________________ |
Telephone: Home, Work, Cell (to be listed in the yearbook)
H: (___)_______________W: (___)______________ C: (___)______________ |
| E-mail address: ___________________________________________________ |
| Birth date: Month __________ Day _______________ |
| Sponsored By: ___________________________________________________ |
Endorsed By:
1. ________________________________________________________
2. ________________________________________________________
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