2008
Membership Application
Full Year (January
thru December) Membership $22
This membership includes reduced rates for special
club activities and a bi-monthly newsletter.
Please print clearly!
Last Name: ____________________________ First Name: ____________________
Address:
_____________________________________________________________
City:
____________________________ State:
__________ Zip: ________________
Telephone: ____________________________
Birth Month & Day: ____ / ____ (no year required)
Club Telephone Directory: A directory will be made available to members
who wish to have their name and phone number published.
Yes ________ No ________
Please
enclose your email address so we can send you important updates.
After
sending us your application, please send an email to: yardleysinglesclub@yahoo.com to
confirm the email address you have provided us. Put your first and last name in
the email. Thanks.
E-mail address: ______________________________________________________
We do not disclose your phone number or email address to
anyone
without your
permission.
Are you
willing to host a house party in your home? Yes: _____ No: _____
Visit the website
at www.yardleysingles.org, call
the hotline at (215)-736-1288 or email us at yardleysinglesclub@yahoo.com.
Please mail this application with a check for $22.00 to:
Yardley Singles Club, Inc.