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Women’s Club Membership Application Form

Membership Dues:  Just $26 a year

____ Regular Member:  Lives on Island Estates or lived there and moved away

____ Sponsored Member: Sponsored by a Member in good standing.  Sponsored by:  __________________________

Today’s Date: __________________  
Email:________________________________________________ Phone _____________________

First Name: _____________________  Last Name: _______________________________________

Mailing Address: ___________________________________________________________________  
Unit # ____________  
City:_____________________________  State:______  Zip: ________

 

Husband/Significant Other________________________

Birthdate (M/D/Y) For recognition of milestone birthdays  ______________

 

Check Please:  Mail this form, with your check to payable to IEWC to Patti Jucha, 763 Harbor Island, Clearwater, FL  33767.

 

We welcome you to the Island Estates Women’s Club and look forward to seeing you at a luncheon or event soon.

 

*Please note that as a Member of the Island Estates Women’s Club your picture may be taken at events and posted on our website or social media channels. 

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