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MLJWC 2019-2020 Membership Form
Email address *
Name *
Birthday (year will not be published in directory) *
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DD
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Address *
Zip code *
Home phone number *
Cell phone number
E-mail address *
Occupation
Spouse's name
Spouse's occupation
Your employer
Spouse's employer
If you have children, please provide their names, birthdates and schools:
Membership status for 2019-2020 Club Year - Specific obligations and benefits of membership are outlined in the "Standing Rules" section of the 2018-2019 Annual Directory. *
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This form was created inside of Mt. Lebanon Junior Women's Club Charitable Fund.