Membership Enrollment
 

1. Default Section

 

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1. Name (Last, First, Maiden)

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2. Spouse?

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3. Address

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4. Email?

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5. Occupation?

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6. Home Phone?

7. Work Phone?

8. Cell Phone?

9. Birth Date? Year not needed

Please print and send or fill out this completed form, and send dues in the amount of $115 ($85 annual dues plus an additional $30 for New members) and Mew Member Profile form(on next page) to:

Junior League of South Bend, Inc.
New Member Chair
130 Park Lane
South bend, IN 46601

The Association Board commends to and expects of the member Leagues, admission practices which reach out to all woman, regardless of race, color, religion or national origin, who demonstrate an interest and commitment to volunteerism.