Movers and Shakers PWD Club of the Carolinas
2023 Membership Renewal/ Application
All dues are due January 1. If dues are not paid by that date, you will not be eligible to vote or for club benefits until membership payment is received.In order to be eligible for Club awards, dues must be received by April 1. Memberships received after that date must include a $5.00 late fee.As of August 1 dues will be considered lapsed and all applicants must re-apply (two sponsors required) in January 2023. Club memberships are renewed annually.
There are four membership categories: Individual (or first household member); additional family member in same household as individual Family members; Associate and Junior. Please complete the information for your preferred membership categories below.
Individual membership (Annual fee: $35.00)
(Full voting membership, eligible for office)
2nd Regular Membership (Annual fee: $25.00)
(Same household as 1st Active Member elegible to vote and hold office)
Associate Membership (Annual Fee $25.00)
(Outside of geographic region or second household member, no vote, no office)
Movers and Shakers is offering a Complimentary Membership to owners who have acquired their first PWD within the last 12 months.
Junior membership ($10.00)
(Under 18, no vote, no office)
By processing this application for membership all persons named agree to the following:
If you prefer to send by snail mail, download and print the the PDF version here and enclose with a check for Membership(s) and Trophy Donation TO: Movers and Shakers PWDC and RETURN TO:
Kim Kluckman, M&S Membership
422 N Serenity Hill Cir, Chapel Hill NC 27516
Form can also be e-mailed to firstname.lastname@example.org