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

Zip Code
E-mail*
example@example.com
Preferred Telephone No.*

HomeMobileWork
Home Number
Mobile Number
Work Number
Birthday Month*
Month
Day*
Day
Birthdate
Age Verification*

I acknowledge that I am at least 21 years of age.
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
Directory Photo

Please attach headshot-type photo to be included in the online directory. If you would prefer to submit a photo at a later time, please send to Lisa Ackerson at webcoordinator@gkwc.org.
Upload Photo for Directory

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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.*
Type a question
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.
- MEMBERSHIP DUES ARE NON-REFUNDABLE.
PLEASE CHOOSE ONE*

ZelleCredit Card - 3% convenience fee added - ($2.40)
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Membership Application

First Year Membership - $80

(Includes Name Badge)

Directory Photo