MEMBERSHIP FORM
_____ New Member
_______Renewal
We request that all new and renewing members complete the following pages so we can keep our information up-to-date.
Name
Address
Phone
Work Phone
Email
Spouse’s Name
Spouse’s Email (optional)
Yes. NAN has my permission to publish the information on this form in an annual directory made available only to members.
Yes. I'm interested in receiving promotional materials from NAN-associated businesses
Children’s Name(s) Birthday(s) Month/Day/Year
What is your age group?
20-25 _____
26-30 _____
31-35 _____
36-40 _____
41-45 _____
46-49 _____
50 + _____
And your spouse’s? 20-25 _____
26-30 _____
31-35 _____
36-40 _____
41-45 _____
46-49 _____
50 + _____
Newcomers: from where did you move?
Volunteer Opportunities: Would you like a board member to contact you about…?θ Coordinating special events
θ Marketing for events
θ Leading a special interest group
θ Mailings/posting flyers
θ Serving on the board
θ Goodwill/welcome wagon
θ Other
______________________
______________________
Please check the following activities of interest to you (check as many as apply):
θ Book Club for Women
θ Dining Out Club
θ Dinner Club for Couples
θ Playgroups
θ Girls Night Out Club
θ Magic Years Book Club
How did you hear about us? ________________________________________________________________
Other Ideas
______________________
______________________
______________________
newcomersandnatives@yahoo.com
Newcomers and Natives Club
40 Shetland Rd.
Marblehead, MA 01945
www.facebook.com/newcomersandnatives
www.facebook.com/newcomersandnatives
Thank you for your interest in NAN!
No comments:
Post a Comment