GFWC HWC Member Application

Member Application
Date*

MonthDayYear
Name*
Spouse
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Email*
Occupation/Former Occupation, if retired*
Have you ever been a member of a General Federated Woman's Club (GFWC)?*

YesNo
If "Yes", Club name and location
Community Service Programs (CSPs) Preference/Area(s) of Interest (select all that apply)*

Arts & CultureEnvironmentLibraries & EducationHealth & WellnessCivic Engagement & Outreach
Are you a registered voter?*

YesNo
Birthday (Month/Day)*
Biographical information (hobbies, talents, interests, children, grandchildren, etc.)*
Membership Dues are $50.00 per year

Signatures of two (2) Sponsoring GFWC HWC Members: We'll take care of this for you.
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