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2008/2009
Expires
August 31, 2009
Please print this form and complete it by hand, then mail it with your
check (payable to Newcomers) to:
Newcomers Club Membership,
18025 Dakota Circle, Eden Prairie, MN 55347
Dues when joining:
Sep 1 - Dec 31 = $25; Jan 1 - Apr 30 = $20; May 1 - Aug
31 = $15
NAME
______________________________________________________________________
SIGNIFICANT OTHER’S NAME
(if any)_____________________________________________
ADDRESS, CITY & ZIP_________________________________________________________
PHONE
( )_______________________ CELL (
)________________________
E-MAIL ADDRESS
____________________________________________________________
PREFERRED VOICE CONTACT:
Phone___ Cell___
MOVED FROM
(City & State or City & Country) _____________________________
MOVED
WHEN (Month/Year) _____/_________
BIRTHDAY
(Month/Day) _____/_____
ACTIVITIES YOU
ARE INTERESTED IN:
___Book Club Dining Groups:
___Bowling
___Dining Out
___Bridge
___Dinner-4-8
___Bunko
___Large Group Dining In
___Chick
Flicks
___Welcome Coffee
___Guthrie Matinee
___Happy Golf
___Civic/Philanthropy
___Mah Jongg
___Mainly for
Men
Other________________________________
___Rubber Stamping
___Social Events (mainly evening & weekend)
___Social Meetings / Monthly Luncheon
Please list any
talent, skill, or interest that you would be willing to share with
the group:
____________________________________________________________________________
How did you learn
about us? ___Website/Internet ___Friend/Neighbor
___Newspaper/Magazine ___Business card
display at______________________________ ___Other_____________________________________________________________________
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