McLean Newcomers and Neighbors Membership Form
Email address *
Select membership type *
How you would like to receive the newsletter? Newsletters are sent by e-mail and also posted on our website.
If you wish to receive a paper copy of the newsletter, please check this box and include an additional $20 with your membership dues.
First Name *
Your answer
Last Name *
Your answer
Spouse Name *
Your answer
Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Home Phone *
Your answer
Cell Phone *
Your answer
E-Mail *
Your answer
Occupation *
Your answer
Birthday (month/day) *
Your answer
Hometown *
Your answer
Last Moved From *
Your answer
How did you hear about Newcomers? *
(McLean Community Center, Library, Newspaper, Friend, Realtor, Web Site, McLean Day. McLean Chamber Commerce, etc.)
Your answer
Our Club depends on our members who volunteer their time and talent to the club’s success. Check the area(s) in which you are willing to help the club: *
Required
Offer your home for a:
Check the Group Activities which interest you: *
Note that not all groups are active. Some activities rotate between members’ homes.
Required
I would like to be an Activity Leader/Co-Leader for:
Your answer
What other activity would you like to see offered?
Your answer
We also accept credit card payment at : www.squareup.com/market/mclean-newcomers-club. The space below is for any additional comments.
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A copy of your responses will be emailed to the address you provided.
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