Membership Registration Form

GFWC Kentucky Woman's Club Membership Registration

2026-27 Membership Registration
Membership Status:
Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email
example@example.com
Home Phone Number

Area CodePhone Number
Cell Phone Number

Area CodePhone Number
Birthday

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Facebook User? Yes/No
Below are lists of Club Committees. Please select Standing Committees (1st and 2nd choices) AND Community Service Area Committees (1st and 2nd choices) for this year. You will be assigned to one Standing Committee and one Community Service Area Committee based on your selections.
Service Area Committees

Please select your #1 and #2 choice.
Please select your #1 service area committee choice.
Please select your #2 service area committee choice.
Standing Committees

Please select your #1 and #2 choice.
Please select your #1 standing committee choice.
Please select your #2 standing committee choice.
All club members are expected to participate in the Christmas Auction and the Home Tour.

We look forward to serving with you in the upcoming year!

Membership dues ($35) can be mailed with application to the address below,paid online, or can be brought to the next club meeting which is the second Tuesday of the month. Please contact us if you plan to attend.

Woman's Club of Madisonville
P.O.Box 1171
Madisonville, KY 42431
Should be Empty:

GFWC Kentucky Woman's Club Membership Registration