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Hinsdale Junior Woman's Club
Application for Associate Membership 2017-18
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Email Address
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Spouse's Name
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Street Address
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Zip Code
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Home Phone
ex. (630) xxx-xxxx
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Cell Phone
ex (630) xxx-xxxx
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Year Initiated In HJWC
January 20xx
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Children's Names & Birthdays (month/year)
separate multiple children's names by comma
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Payments due: $40 per year
Associate Pre-Pay Details: We are offering Associates an opportunity to prepay your Associate Dues. You will continue to receive all your HJWC Benefits with no interruption and will occasionally be asked to verify information for the directory.

You may also prepay for a benefit ticket at discounted price of $150

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