Springfield Newcomers

New Member Information Sheet  

Please complete the form below checking any small groups in which you are interested.  Group leaders will call or e-mail you their meeting details and schedules.

 New member dues are pro-rated based on the quarter you join:

Aug-Oct $25, Nov-Jan $20, Feb-Apr $15, May-July $10

 

Name

Birthday (month/day)

Address

Spouse

City                 Zip

Children (names/ages)

Phone

Moved from

E-mail

Occupation

 SPECIAL INTEREST GROUPS  

  p Book Club  p Good 'n' Easy Cooking
  p Breakfast Club  p Gourmet Cooking*
 p Bridge  p Movies and More
 p Bunco  p Out to Lunch Bunch
 p Canasta  p Pinochle*
 p Casual Get-Together*  p Scrapbooking
 p Dining Out*  p Walking
 p Golf  p Wine Tasting*

(* Some interest groups include spouses or significant others on a regular basis providing a great way for couples to socialize and make new friends. )

Mail this form with check payable to:

SPRINGFIELD NEWCOMERS CLUB  
Judy Cowgill
6714 Preston Drive
Springfield, IL 62711