GLIDE COMMUNITY CLUB
MEMBERSHIP REGISTRATION


Mailing name&address:

________________________________________________     Phone (home): ________________

________________________________________________     Phone (work): ________________

________________________________________________       Include us in the Club directory___ (Y/N)

E-mail address:_____________________________________    We can be contacted by e-mail ___ (Y/N)

Members in household (please print):    Signatures of all members 18 and older are required in order to vote. 
Adults do not have to enter their age if they deem it too revealing.   Signatures are for verification at elections.
                    
name:__________________________ age:_____     Signature________________________________

name:__________________________ age:_____     Signature________________________________

name:__________________________ age:_____     Signature________________________________

name:__________________________ age:_____     Signature________________________________

name:__________________________ age:_____     Signature________________________________

name:__________________________ age:_____     Signature________________________________

 
Each member should complete their own volunteer form. Members younger than 18 can volunteer. 

 

 

This space for Club use:

Dues of $ _____ paid by ____cash or check # ______ on ____/____/____

Received by: ________________








CodeAve.com (JavaScript: Print This Page)
Print