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FLORENCE WELCOMING CLUB MEMBERSHIP RECORD DATE NAME

SPOUSE

ADDRESS CITY/STATE

ZIP CODE

PHONE

BIRTHDAY (MONTH/DAY)

CELL PHONE

Newsletter via?

MAIL

EMAIL

CIRCLE ANSWER

EMAIL YOUR EMPLOYMENT SPOUSE'S EMPLOYMENT FROM WHERE & WHEN DID YOU MOVE TO SC? FROM WHERE ARE YOU ORIGINALLY? WHERE DID YOU HEAR ABOUT FWC?

# of CHILDREN: ______0-5yrs _______6-12yrs ______13-19yrs ______>20 GRANDCHILDREN: Y or N INSERT √ TO RIGHT

INTERESTS: GARDENING BOWLING MOVIES SHOPPING TRAVEL

DINNER GROUP LUNCH GROUP COFFEES COOKING THEATER

BOOK GROUP BUNCO/GAMES SCRAPBOOK KNIT/CROCHET COUPLES NIGHT

ANY SPECIFIC INTERESTS THAT ARE NOT LISTED?

WOULD YOU CONSIDER LEADING A GROUP OR COMMITTEE?

Annual Dues $15 Mail Membership dues to: FWC, PO Box 5391, Florence, SC 29502 Or Pay in Person at a monthly meeting - Ist Tuesday of the month ***** FOR FWC USE ONLY ***** DATE CAME AS GUEST DATE MEMBERSHIP PAID CHECK NUMBER CASH


Membership Application  

Membership Application to fill out

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