EWC NEW MEMBER REGISTRATION 2018 - 2019

Email address *
Thank you for Joining EWC!
Our new club year starts on July 1, 2018 and ends June 30, 2019. Membership dues will remain at $40 for the club year.

Please complete the information on the following screens and click the "Submit" button upon completion. Confirmation of your renewal and payment options will be emailed to you.

First Name (as you would like it entered in the membership directory) *
Your answer
Last Name (as you would like it entered in the membership directory) *
Your answer
Cell Phone Number (xxx.xxx.xxxx)
Your answer
Other Phone number, on which you wish members to phone you. (xxx.xxx.xxxx)
Your answer
Street Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Spouse/Partner's Name
Your answer
Birthdate (MM/DD) if you wish to be acknowledged in the newsletter.
Your answer
Children and Birthyears (please enter Name BY, Name BY ex Sean 04 since Sean was born in 2004)
Your answer
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