Northridge Woman’s Club Day Membership Application 2026

Northridge Woman’s Club - Day Membership

Apply for membership in the Northridge Woman’s Club for the 2026–2027 year. Please complete all required fields and review the club agreements before signing.
Annual dues are $65 which include the monthly newsletter and are due by June 1st and delinquent by June 31st.

If you would like a name badge or need a replacement, an additional fee of $15.00 is required. Please contact us for more information.
Member Info
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email

Confirmation Emailexample@example.com
Birthday

MonthDay
I agree to have my contact information, listed above, published in the members’ yearbook/directory.
I do not want to be included in the group text that contains reminders and possibly important club information.
Emergency Contact
Emergency Contact Name
Emergency Contact Relationship
Emergency Contact Phone
Please enter a valid phone number.Format: (000) 000-0000.
Permanent Lunch List
I would like to be on the Permanent Lunch List, Cost is $25 each month
*Yes means I want lunch at every General Meeting or I will telephone a cancellation at least by 3 PM on the Saturday prior to the meeting on Wednesday. If I do not cancel in advance, I agree to pay for the lunch since it cannot be returned for a refund. _{(Standing Rule 111C)} If you mark No and would like lunch, you must order by the Saturday prior to the meeting as well.
I want a name badge or need a replacement (+$15).
Confirmation
Signature
Date Signed

MonthDayYear
Date
Pay Online Here

To submit payment by check, make it payable to “NORTHRIDGE WOMAN’S CLUB” and mail to:

ATTN Norma Placensia

Northridge Woman’s Club

9227 Reseda Blvd #120, Northridge, CA 91324

If you have any questions or concerns, you may call or text Norma Placensia at (818) 687-2629 or email her at nxpnwc@gmail.com. Please clearly state your name and phone number if you leave a message or send a text.
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Northridge Woman’s Club - Day Membership

Member Info

Emergency Contact

Permanent Lunch List