WELCOME! WE ARE PLEASED THAT YOU ARE INTERESTED IN JOINING OUR GROUP AND HOPE YOU WILL ENJOY OUR ACTIVITIES AND FELLOWSHIP AND WILL MAKE LIFELONG FRIENDS. PLEASE FILL OUT THIS FORM AND INCLUDE $16 ANNUAL NON-REFUNDABLE MEMBERSHIP FEE AND MAIL TO THE ADDRESS BELOW OR DELIVER TO A MEMBER OF THE BOARD.
ACTIVITIES AND VARIOUS FUNCTIONS OF OUR GROUP ARE CONDUCTED THROUGH COMMITTEES AND VOLUNTEERS. IF YOU WOULD BE INTERESTED IN SERVING ON ONE OF THE COMMITTEES OR SPONSORING AN ACTIVITY, PLEASE CHECK BELOW:
| ____BOARD MEMBERSHIP ____MEMBERSHIP COMMITTEE |
| ____ACTIVITIES COMMITTEE ____PUBLICITY COMMITTEE |
| ____FINANCIAL COMMITTEE ____SPONSOR AN ACTIVITY |
|
PLEASE PRINT LEGIBLY |
|||
| NAME:__________________________________________ | BIRTHDAY:___________/_____________ (MONTH AND DAY ONLY) |
||
| ADDRESS:_______________________________________ | HOME PHONE:________________________ | ||
| ____________________________________________ CITY STATE ZIP |
WORK PHONE:________________________ | ||
|
______/_____/________ |
Email Address: _________________________ (To be added to the Speak Easy Notification Email List - TOPICA) |
I
certify that I am at least 21 years of age
________________________________ |
|
Please Check ____NEW ____RENEWAL ____CASH ____CHECK
PLEASE
COMPLETE ENTIRE MEMBERSHIP APPLICATION AND RETURN
WITH $16.00 CHECK OR MONEY ORDER TO
(PLEASE DO NOT SEND CASH IN THE
MAIL):
SPEAKEASY
SINGLES
P.O. BOX
8717
SOUTH
CHARLESTON, WV 25303
MEMBERSHIP
PRIVILEGES INCLUDE RECEIPT OF THE MONTHLY NEWSLETTER
AND DISCOUNTS ON SOME ACTIVITIES. INVITE A FRIEND TO JOIN.
For
more information about the Speak Easy Singles Organization in the
Charleston, West Virginia area
please
contact:
speakeasysingles@suddenlink.net
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