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Hinsdale Junior Woman's Club
Please make sure to include ALL INFORMATION as you would like it displayed in the Directory. For example, capitalize the first letter of both your first and last name.
Application for Returning Membership 2017-18
First Name
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Last Name
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Spouse's First Name
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Spouse's Last Name
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Email Address
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Street Address
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Town
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Zip Code
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Home Phone
ex. (630) xxx-xxxx
Your answer
Cell Phone
ex. (630) xxx-xxxx
Your answer
Birthday
MM
/
DD
Year Initiated In HJWC
January 20xx
Your answer
Children's Names & Birthdays (month/year)
separate multiple children's names by comma
Your answer
Has your information changed from last year?
Address, Phone, Email, Children, etc?
Required
Committee Selection
Please indicate your 1st choice
Committee Selection
Please indicate your 2nd choice
Committee Selection
Please indicate your 3rd choice
Are you a business owner or would like to share your professional information for networking purposes? This information will not be distributed outside of club members. Feel free to complete as much information as you wish. (optional)
Member Occupation:
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Company:
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Professional Email:
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Website:
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Skills/Products/Services Offered:
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Significant Other Occupation:
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Company:
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Professional Email:
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Website:
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Skills/Products/Services Offered:
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Payments due: $250 total

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