Membership Registration Form

GFWC Kentucky Woman's Club of Madisonville

2024-25 Membership Registration
Membership Status:

NewRenewing
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
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 CommitteeEnvironment CommitteeEducation & Libraries CommitteeHealth & Wellness CommitteeCivic Engagement & Outreach Committee
Please select your #2 service area committee choice.

Arts & Culture CommitteeEnvironment CommitteeEducation & Libraries CommitteeHealth & Wellness CommitteeCivic Engagement & Outreach Committee
Standing Committees

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

Bylaws CommitteeClub History CommitteeCommunity Contributions CommitteeFinance CommitteeMembership/Hospitality CommitteePublicity Committee
Please select your #2 standing committee choice.

Bylaws CommitteeClub History CommitteeCommunity Contributions CommitteeFinance CommitteeMembership/Hospitality CommitteePublicity 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,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 of Madisonville

Service Area Committees

Standing Committees