Norwich Women's Club Membership Form
Please fill out this form and submit it using the button at the bottom of this form.  
After submitting the form,  you may pay your dues either online with a credit card or via check.  

ELECTRONIC PAYMENTS - Return to and click the paypal link, or follow the paypal link visible when you finish the form.  

MAILED PAYMENTS are strongly discouraged due to the Coronavirus outbreak and concerns about handling and processing mail.  If you CANNOT pay online, checks may be mailed to the NWC at PO Box 191, Norwich, VT 05055.  

There is no need to print this form and mail it to us.  We collect all responses electronically, even if you opt to pay by check.
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Email *
Name *
Address *
Preferred Phone # (please note whether mobile or home) *
Alternate Phone
Annual Dues are $20
Dues are used to support all club programs each year and are critical to our operations.
In addition to paying dues, I wish to make a donation which should be used for:
Community Project Grants
Scholarship Fund
Row 1
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My Total Payment today is: ($20 plus any donation).   If you want us to split your donation between two areas, please indicate how much you would like to have go to each area.   *
How will you pay for membership? *
I would like to make a gift in honor of:
I would like to make a gift in memory of:
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