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.
Email address *
Name *
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Check one *
Street Address *
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City *
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State *
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Zip Code *
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Phone Number *
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Birth date (please include year- year is not published publicly) *
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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). *
How will you pay the $150 dues? *
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. *
Your answer
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