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Membership Application - Council of Catholic Women

St. Ann's Council of Catholic Women

Membership Application - Please Print

Name: __________________________________  Home Phone____________________________

Address:________________________________________________ZIP_______________________

Email:_____________________________________Cell Phone____________________

Occupation/ Skills____________________________________Birthday:_____/_____/__________

Preferred Contact Method (circle one):     E-mail     -     Phone     -     Cell Phone

*Emergency Contact (Name & Phone)__________________________________________

Annual Dues:  $10. Make checks payable to St. Ann's C.C.W.

Please Circle Your Preferences:

Draw posters - Count Money - Sell tickets - Plan Events - Greet people -Design a newsletter - Bake Cakes - Make Phone calls - Email people - Plan Events - Bake Cakes -Sing - Play cards /games - Make crafts - Decorate for a party - Host a reception - Work with Youth - Work in kitchen - Clean-up -  Serve punch - Recruit volunteers

I would like to hear people speak about:

Taxes -- Church -- Gardening -- Music -- Saving money -- Reverse Mortgages -- Diet -- Health Care -- Long-Term Care Insurance -- Social Security Issues -- Travel -- Restaurants and Local Atractions -- Drug/Alcohol Abuse -- Crime/Fire Prevention -- Hurricane Preparedness (Other)___________________________________________________________

Circle two (2) commissions that interest you:  Spirituality – Service – Leadership

 

Bring your completed form and membership fees to the next CCW meeting or mail to:  St. Ann’s CCW, PO Box 530218, DeBary FL 32753-0218

 

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Comments or Questions
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