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Women’s Club Membership Application Form

Membership Dues:  Just $26 a year

Important Note:  If you are sending in a CHECK, you must complete and print this membership form and send it with your check attached to the application form.  Do not complete the online form unless you are paying by credit card with our online system.

____ 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.

Important Information: 

*  Dues for the 2023-2024 year begin April 1. Any payments prior to that count towards the current 2022-2023 year.

*  Please be sure to add the Membership emails to your email contact list so that you receive important information from our Membership Chair.  iewcmembership@gmail.com and pattijucha@yahoo.com.

*  The club takes pictures at our activities and does post them on our website and on Facebook.  

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REMINDER:  DID YOU ATTACH YOUR CHECK to this form?  Your Membership Application must have your check attached.  Thank You.

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