Amaia

Ladies
AMAIA LADIES CLUB MEMBERSHIP APPLICATION
Club

Name:_________________________________________________________________________

Address:________________________________________________________________________

City:__________________________________________ZIP:______________________________

E-MAIL:________________________________________________________________________

Phone: Home__________________________________Cell______________________________

Spouse’s Name:__________________________________________________________________

Occupation and/or Place of Employment:_____________________________________________

Other Skills:_____________________________________________________________________

Birthday:_______________________________________________________________________

College / University:______________________________________________________________

Top 3 Hobbies / Interests:

_______________________________________________________________________________
_______________________________________________________________________________

Area of Volunteer Interest:

_______________________________________________________________________________

I understand that by joining Amaia Ladies Club, I must pay an annual New Member Fee of Php
100.00 for registration. I understand that every year, I must attend at least 50% attendance on all
our club affairs.

SIGNATURE:___________________________________DATE:_____________________________