North Country Spouses Club
Membership Application 2019-2020
First & Last Name
Birthday (This is to recognize our members on their birthday month)
Please mark here if you DO NOT want photographs of yourself to be published on our; Social Media accounts, Website or Newsletter
I DO NOT want myself in any photographs
I would like to request a sponsored membership
Regular Membership E-4 & below $15 via cash or check
Regular Membership E-4 & below $17 via paypal or credit
Regular Membership E-5 & above $25 via cash or check
Regular Membership E-5 & above $27 via paypal or credit
We have a few sponsored memberships available to spouses in need of assistance. For those who would like to donate a membership to our organization this would allow us to sponsor more spouses to be able to join our community.
Would you like to sponsor a membership?
Yes, I would like to sponsor a membership at a spouse (E-5 & above) $25
Yes, I would like to sponsor a membership for a spouse (E-4 & below) at $15
No, I would not like to sponsor a membership
Are you interested in joining any of our sub clubs? Sub Clubs may include but are not limited to; Bunco, Lunch Bunch, Book, etc. For additional information please contact
Interested in Volunteering? Which group would you like to volunteer for? (Check all that apply)
Special Events Volunteer
Sub Club Volunteer
I'd like to Volunteer but I'm not sure yet
No thank you, I'm not interested in Volunteering
I understand that Luncheons/Events must be RSVP'd to
and must be paid in advance via Cash/Check/Credit/Paypal by the RSVP date. All payments must be received prior to the Luncheon/Event before entry will be permitted. Reservations are non-transferable. Cancellations made after the RSVP deadline will result in loss of payment for the event (or a bill for the cost of the Luncheon/Event if payment has not already been collected). There will be a $25 additional charge for any returned checks.
Reservation Policy Agreement (Please check each box)
I agree to the terms of the reservation policy listed above
By signing below I understand, agree to, and will adhere to the following:
1. Cost of full membership is $25 (E-5 & above) or $15 (E-4 & below). A charge of $2 will be incurred when using PayPal or credit. Membership dues are non-refundable and non-transferable.
2. Full Season Pass is non-transferable and non-refundable.
3. Membership is dependent upon being in good standing (no outstanding debts) with the organization.
4. I understand that it is my responsibility to read the NCSC Constitution and By-Laws available on our website at
A copy will also be available at each NCSC event.
Payments & Correspondence
North Country Spouses' Club
Attn: (NCSC Board Member Position Title)
P.O. Box 327
Fort Drum, NY 13602
A copy of your responses will be emailed to the address you provided.
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