Italian American Club of Southern Nevada Membership Application
Please complete the following form for each member of your family that you'd like listed as a member
Membership Questions? Call/text Christina Cassaro @ (702) 907-3794
If you have any questions regarding membership ONLY.

Call 702 457 3866 if you want to make dinner or show reservations.

Type *
First name *
Your answer
Last name *
Your answer
Email
Your answer
Telephone *
Your answer
Address *
Your answer
City *
Your answer
ST *
Your answer
Zip *
Your answer
Birth date *
So that we may help you celebrate
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DD
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YYYY
Anniversary date
So that we may help you celebrate
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