Newcomers Club of Harford County

This Membership Form is for new members and current members with changes.

 

Please mail completed form along with dues $20/year (February - June $10) to:

The Newcomers Club of Harford County
Attention: Membership
P.O. Box 115
Bel Air, MD 21014

NOTE: The information collected on this form is for club and social use by club members only. Your name will not be used for solicitation purposes or distributed outside the club. Please only list information that can be published in the club directory.

NEW MEMBERS ONLY
PLEASE PRINT

Date: _______________
Member's Name:_____________
Spouse's Name: _____________
Street Address: _________________
City/State/ZIP: _____________________
Moved Here From: __________________
Member's Birth Date: (no year!) _________
Your Interests/Talents:____________________________________
__________________________
Home Phone: _______

Cell Phone: ________
Email:____________

RETURNING MEMBERS, IF ANY CHANGES:
Date: ______
Member's Name:_____________
Spouse's Name:_____________

Home Phone: _________

Cell Phone:_________
Email: __________