Membership Form – Green Bay Area Newcomers and Neighbors

Newcomers & Neighbors Membership Form

Full Name *

DOB *

Others in Household (include DOB):

Address

Country

City

State

Zip code

Email *

Phone Number *

Employer:

Location Moved from and When?

Check all activities you would like to join:

Please list ideas for new activities below:(example=Movie)

Volunteer:

United Way logo

Website

1st Friend

Be a contact person for anew or existing activity

Check if:

You do not want to be included on the membership directory

Name Only

Other:

Referred by:

Annual Dues: $25 (includes newsletters, postage, printing, supplies, etc). Please make checks payable to: “Newcomers” Mail to: P.O. Box 8261, Green Bay, WI 54308 Renewals mail checks + membership form to Joan Remmel: 1080 Schanock St., Green Bay, Wi. 54303

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