MEMBERSHIP QUESTIONNAIRE

You may *PRINT* this questionaire while on-line and mail it with your dues ($30 annually) to: Welcome Club of Westfield, P.O. Box 852, Westfield, NJ 07091.

Name: __________________________

Address: __________________________________________________

WORKING COMMITTEE ("click" for descriptions and then choose one):

Membership __ Reservations __  Social __

Spouse's Name: _____________________________________________

Children's Names and Birthdates: _________________________________

Phone: _____________________________________________

E-mail Address: _____________________________________

Do you work?: __________________________________

Date joined: ________________________________________

Activities You Would Like to Join:

Book Discussion ____________ Wine & Cheese ______________

Community Service __________ Playgroups __________________

Crafts, Home & Garden _______ Playgrounds _________________

Great Escape ________________ Explorers ___________________

Helping Hands _______________ Story Hour__________________

Couples Casual Dinners ________ Walking Group_______________

Game Night _________________ Other Ideas __________________

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(For Working Committee Chair use only) Please list all Board Positions held, and/or groups chaired, and the date of the term:

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