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Membership Form

Newcomers Club of Harford County

Membership form


Please mail your completed for along with dues
 ($20 a year/$10 if joining for the first time between February 1 - June 30) to:
Newcomers of Harford County
ATTN: Membership
P.O. Box 115
Bel Air, MD 21014

NOTE: The information collected on this form is for the club and social use by club members ONLY. 
 Your name will not be used for solicitation purposes or distributed outside the club.  Please only
 list information that can be published in the club directory.


PLEASE PRINT



                                                                                        Date: __________________________________________________________


Member’s Name ________________________________  Spouse’s Name________________________________


Home phone (________) ___________________ Cell phone (________) _________________________________

 
E-mail _______________________________________________________________________________________



NEW MEMBERS, ONLY (Returning members, if any changes):


Street Address__________________________________________________________________________________


City/State_________________________ Zip Code_______________________________________________________


Member’s birthday (no year!) ________________________________________________________________________  


 Moved here from _________________________________________________________________________________


Your interests and talents ___________________________________________________________________________


________________________________________________________________________________________________



How did you hear about the club? If a member introduced you to the club, who?_________________________________


________________________________________________________________________________________________







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