Lynchburg Area Newcomers Club
www.LynchburgAreaNewcomersClub.Weebly.com
email: [email protected]
How did you find out about the club? ____ Friend (Who: ________________) ____ Flyer ___ Business Card ____ Website
Today’s Date (MM/DD/YY) ______________________ Your Birthday (MM/DD) __________________
Your Name __________________________________ Address _____________________________________
City/ST/Zip ____________________________ Home Phone _________________________________
Cell Phone_____________________________ Email _____________________________________________________
Annual Membership Dues: $15 Includes Membership, periodic electronic newsletter, electronic directory of members (If you join after June 30th, membership dues will be half this annual amount.)
Moved From __________________________ Originally From _______________________________
Check activity groups of interest to you ___ Art Projects ___ Couples Activities ___ Mexican Train Dominoes ___ Coffee ___ Day Trips ___ Recipe Luncheon ___ Book Review ___ Euchre ___ Stitching ___ Bridge ___ Ladies Night Out ___ Wine Appreciation ___ Bunco ___ Luncheons
Please use the line below to suggest a new activity group you would like to start. ___________________________________________________________________________________
Tell us about any club officer positions you held in the past. __________________________________________________
Member records will not be used for commercial, personal, or charitable solicitations. By joining LANC members agree not to share the electronic directory nor post data within to social media or internet.
Please mail this form with your check payable to LANC to PO Box 2082, Forest VA 24551
02/09/2023 cs
www.LynchburgAreaNewcomersClub.Weebly.com
email: [email protected]
How did you find out about the club? ____ Friend (Who: ________________) ____ Flyer ___ Business Card ____ Website
Today’s Date (MM/DD/YY) ______________________ Your Birthday (MM/DD) __________________
Your Name __________________________________ Address _____________________________________
City/ST/Zip ____________________________ Home Phone _________________________________
Cell Phone_____________________________ Email _____________________________________________________
Annual Membership Dues: $15 Includes Membership, periodic electronic newsletter, electronic directory of members (If you join after June 30th, membership dues will be half this annual amount.)
Moved From __________________________ Originally From _______________________________
Check activity groups of interest to you ___ Art Projects ___ Couples Activities ___ Mexican Train Dominoes ___ Coffee ___ Day Trips ___ Recipe Luncheon ___ Book Review ___ Euchre ___ Stitching ___ Bridge ___ Ladies Night Out ___ Wine Appreciation ___ Bunco ___ Luncheons
Please use the line below to suggest a new activity group you would like to start. ___________________________________________________________________________________
Tell us about any club officer positions you held in the past. __________________________________________________
Member records will not be used for commercial, personal, or charitable solicitations. By joining LANC members agree not to share the electronic directory nor post data within to social media or internet.
Please mail this form with your check payable to LANC to PO Box 2082, Forest VA 24551
02/09/2023 cs