January 2012

Service and Friendship

Membership Application

Print and mail to: Woodbridge Woman's Club, P.O. Box 6215,Woodbridge, VA 22193

Name:

Address:

Phone:

E-mail:

Have you ever been a member of a Federated Woman's Club?

Home

Work

Mobile

If so, Where?

Your Occupation

Your Talents

Your Interests

Your Hobbies

Your Birthday

 

Month

Day

 

Applicant's Signature

 

Sponsor’s Name

 

Dues are payable at Induction into the Woodbridge Woman's Club and will be pro-rated as applicable.

(For WWC use:) Board Approval Date

New Member Notified Date

Dues Paid Date

If Pro-Rated, Amount

Sponsor's Signature