Winnifred Membership Application Form

Membership Application 2025

Fill the form and join the Free Winnifred Beach Benevolent Society
Name*

First NameLast Name
Local name AKA (optional)
Occupation
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Country
E-mail*
example@example.com
Phone Number*

Area CodePhone Number
Office Number
Occupation / Company / Organization
Position in FWBBS (optional)

Worker on beachCommittee memberVendor on the beachCommunity marketGuest House/Hotel owner
Select Your Membership Type for the Year 2025*

Standard Membership JMD 2,000Gold Membership JMD 10,000Friends of Winnifred JMD 50,000
Date of Signature

MonthDayYear
Date
Should be Empty:

Membership Application 2025