Valdosta Newcomers’ Club  Membership Form    
Date:
Name:
Address:
City:                                                          State:                               Zip:
Home Phone:                                            Cell Phone:
E-Mail:
(If no e-mail address – Newsletter by Mail: YES___ or NO___ ($9.00 charge for postage)
Birthday:
Occupation:
Children:
Childlren's Ages:
Husband's Name:
His Occupation:
BELOW IS A LIST OF CURRENT, ACTIVE GROUPS WITHIN THE CLUB.
PLEASE CHECK YOUR INTERESTS:
____ Gardening/Craft
____ Lunch Bunch
____ Book Club
____ Mom & Tots
____ New Connections Bible Study
____ Potluck/Event (as desired)
____ Newcomer's Class, "Moving On After Moving In"
Dues are $15.00 for the year, and pro-rated monthly.
Pro-rated Dues for 2010
January
February
March
April
May
June
$15.00
$13.75
$12.75
$11.25
$10.00
$8.75
July
August
September
October
November
December
$7.50
$6.25
$5.00
$3.75
$2.50
$1.25

Please make your check payable to “Valdosta Newcomers’ Club.”
Please Mail in this form along with your dues to:

Valdosta Newcomers’ Club
Attn: Sharon Cooper
P.O. Box 3210
Valdosta, GA 31604

Once we receive your membership form and dues, we will add you to our database and you will start to receive our monthly newsletter.