GFWC Woman’s Club of Fairmont Application
Hello and thank you for your interest in joining our club.  Please complete the application below and remit your dues in the amount of $50 to GFWC Woman's Club of Fairmont 300 First Street Fairmont, WV 26554 or bring with you to a club meeting.  We look forward to having you!
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Name (First and last and any nickname) *
Birthday (month/year)
Spouse/partner name
Street Address *
City *
State *
Zipcode *
Home Phone number
Cell Phone Number
Our club is interested in organizing a Junior Department.  If interested, please check here. 
Organizations to which you belong to:
Are you transferring from another Woman's Club?
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If yes, what year did you join and what offices have you held?
Family? Children? Grandchildren?
Other information you would like to share with us?
Mentor:
To pay by charge card, please follow this link -- https://swipesimple.com/links/lnk_d7246ec4
A copy of your responses will be emailed to the address you provided.
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