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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