SANTA ROSA’S ASSOCIATION OF YERN WOMEN INC.

(SAYAW)

1x1 photo
Application For
Membership

Membership Number:_________________________________________________________________

Last Name:__________________________ First Name:_____________________________MI:______

Occupation:_________________________________________________________________________

Date of Birth:________________________________________________________________________

Civil Status:__________________________________________________________________________

Address:____________________________________________________________________________

Contact Number:_____________________________________________________________________

Email Address:_______________________________________________________________________

Contact person in case of emergency:____________________________________________________

Contact Number:_____________________________________________________________________

I accept membership into SAYAW and that the standards are limited to persons of good moral
character and reputation. I recognize the importance of rendering personal service to my community
in cooperation with other civi-minded persons. I understand that membership is not valid until
approved by the organization’s board of directors.

Signature:______________________________ Date:_______________________________________