Membership Registration Form

GFWC Kentucky Woman's Club of Madisonville

2021-22 Membership Registration
Membership Status:

New Renewing
Name

First Name Last Name
Address

Street Address

Street Address Line 2

City State / Province

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

Area Code Phone Number
Cell Phone Number

Area Code Phone Number
Birthday

Month Day Year
Date
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.

Arts & Culture Committee Environment Committee Education & Libraries Committee Health & Wellness Committee Civic Engagement & Outreach Committee
Please select your #2 service area committee choice.

Arts & Culture Committee Environment Committee Education & Libraries Committee Health & Wellness Committee Civic Engagement & Outreach Committee
Standing Committees

Please select your #1 and #2 choice.
Please select your #1 standing committee choice.

Bylaws Committee Club History Committee Community Contributions Committee Finance Committee Membership/Hospitality Committee Publicity Committee
Please select your #2 standing committee choice.

Bylaws Committee Club History Committee Community Contributions Committee Finance Committee Membership/Hospitality Committee Publicity Committee
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 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
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GFWC Kentucky Woman's Club of Madisonville

Service Area Committees

Standing Committees