Women’s Club Membership Application Form
Membership Dues: Just $26 a year
Important Note: If you are sending in a your 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
____ Associate Member: (previously known as Sponsored Member). No Sponsorship Required.
Today’s Date: __________________
Email:________________________________________________ Phone _____________________
First Name: _____________________ Last Name: _______________________________________
Mailing Address: ___________________________________________________________________
Unit # ____________ City:_____________________________ State:______ Zip: ________
Birthdate (MM/DD/YEAR) 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.
* Dues for the 2023-2024 year begin April 1. Any payments prior to that count towards the current 2022-2023 year.
* The club takes pictures at our activities and does post them on our website and on Facebook.
REMINDER: DID YOU ATTACH YOUR CHECK to this form? Your Membership Application must have your check attached. Thank You.