Junior League of Rockford Membership Application
The Junior League of Rockford, Inc. reaches out to women of all races, religions, and national origins who demonstrate an interest in and a commitment to voluntarism. To find out more about the Junior League of Rockford please visit our website at
jlrockford.org
or contact us at
jlrockford@jlrockford.org
To become a member, please complete the following information and pay the $150 annual dues in one of the following ways:
1) Mail a check to: Junior League of Rockford, Inc., Attn: Provisional Recruitment, 4118 Pinecrest Road, Rockford, IL 61107.
2) Pay online through our website at
jlrockford.org
and choose the "Donate" option from the homepage to make a general donation with a note for "New Member Dues".
3) If you are at an event where we have a credit card swipe, reach out to the Junior League member accepting payment.
4) Request a scholarship or payment arrangement by filling out the dues scholarship/payment arrangement form at
https://drive.google.com/file/d/0B7vtJrClWxieeThzczhhNkNTenh3WXU1ZElzRlhjWm9kQXVr/view?usp=sharing
and sending it in or emailing us at
jlrockford.treasurer@gmail.com
.
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Email address
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Your email
Name
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Your answer
Check one
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Miss
Mrs.
Ms.
Street Address
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Your answer
City
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Your answer
State
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Your answer
Zip Code
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Your answer
Phone Number
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Your answer
Birth date (please include year- year is not published publicly)
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Your answer
Do you accept the invitation to Provisional Membership in the Junior League of Rockford, Inc. and agree to pay $150 in annual dues in one of the payment methods listed above before you membership is approved. (scholarships also available, contact
jlrockfordrecruitment@gmail.com
for information).
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Yes
No
How will you pay the $150 dues?
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Check mailed to Junior League
Online through Junior League's website
At an event where I paid a member by credit card
I contacted JLR to request a scholarship or other payment arrangement
Type your full name below to confirm that the information provided is accurate. This constitutes your digital signature of your Junior League of Rockford membership application.
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Your answer
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