Pine Kneedlers Membership Information Name ______________________________________________________ Street ______________________________________________________ City ______________________________
ZIP ___________________ Home Phone _________________________________________________ Cell Phone ___________________________________________________ Email Address ________________________________________________ Birthday:
Month __________________ Day _____________ Wht types of meeting topics interest you? ___________________________________________________________ Questions or Comments? or
call 943.6909 ___________________________________________________________ I am interested in the following activities (Circle any that apply): - Programs
- Community Service
- Workshops
- Guild Officer Service
- Refreshments
- Library
- Publicity
- Presenting a Program
- Membership
- Special Events
Annual dues
are $18.00. Pleae make your check payable to: Pine Kneedlers Bring your application and dues to a meeting or mail to: 8 Weymouth Lane Medford Maine 04463
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