GKWC New Membership Application

Membership Application

To apply for membership please complete all questions.
First Year Membership - $80

(Includes Name Badge)
Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
E-mail*
example@example.com
Preferred Telephone No.*

HomeMobileWork
Home Number
Mobile Number
Work Number
Birthdate (Month and Day Only)
Spouse's Name (If applicable)
Spouse's Name, if applicable
I am interested in

Community ServicePhilanthropyFundraisingSpecial Events
I have special skills in

ComputerAccountingFundraisingMarketing/PublicityOther
If you checked other, please specify
And lastly, how did you hear about the Greater Keller Women's Club? If you were referred by someone, please tell us who is we can thank them.*
Note to or questions for the Membership Committee
Please choose one:*

I understand that my name and address will be shared with the Texas Federation of Women's Clubs.I do not want my information shared with the Texas Federation of Women's Clubs.
- MEMBER APPLICATIONS RECEIVED IN FEBRUARY, MARCH, AND APRIL WILL BE APPLIED TO THE NEXT YEAR'S DUES.
- ALL RENEWALS ARE DUE NO LATER THAN MAY 1.
- IN ACCORDANCE WITH THE GKWC POLICIES AND PROCEDURES UNDER "DUES AND PENALTIES: NUMBER 6," A PROSPECTIVE MEMBER MAY ATTEND NO MORE THAN TWO (2) FUNCTIONS BEFORE PAYING ANNUAL DUES.
PLEASE CHOOSE ONE*

ZelleCredit Card
Should be Empty:

Membership Application