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ENCORES CLUB OF DOYLESTOWN ENCORES CLUB OF DOYLESTOWN

ENCORES CLUB OF DOYLESTOWN - PDF document

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Uploaded On 2016-03-20

ENCORES CLUB OF DOYLESTOWN - PPT Presentation

2014 2015 MEMBERSHIP FORM 20142015 Membership fees are 1 5 after January 1 st 2015 Please check the appropriate box xF035 New Member xF035 Returning Member xF035 Annual Renewal I f ID: 263652

2014 - 2015 MEMBERSHIP FORM 2014/2015 Membership fees

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ENCORES CLUB OF DOYLESTOWN 2014 - 2015 MEMBERSHIP FORM 2014/2015 Membership fees are $1 5 after January 1 st , 2015 Please check the appropriate box:  New Member  Returning Member  Annual Renewal I f New Memb er, how did you hear of Encores? _________________ ____________________________ NAME _________________________________________________________________________ ADDRESS _________________________________________________________________________ City, State Zip __________________________________________ _______________________________ _________________________________________________________________________ OTHER _________________________________________________________________________ ADDRESS City, State Zip ________________________________________ _________________________________ Other Address Comment (Example: Mailing, Summer) _________________________________________ SPOUSE/PARTNER _____________________ BIRTHDAY (Month/Day) ___________________ HOME PHONE _____________________ CELL PHONE __ _________________________ EMAIL _______________________________________________________________________________ ACTIVITIES Membership allows you to participate in any of the following activities Please check if you are interested. Full details will be lis ted in the monthly newsletter. __________ Book Review __________ Ladies Night Out (LNO) __________ Mah Jongg __________ Movie Night* __________ Gadabouts __________ Stitch and Chat __________ Walkers/Bikers __________ Thank Goodness for Encores (T GIF)* __________ Ladies Golf __________ Covered Dish* Additional Fee – Dinners are held in November, January, March, & May at the homes of volunteer hosts . __________ Tastes of the World* – An evening dining g roup - we visit restaurants offering cuisines from around the world. __________ Winers * – An evening wine tasting group - gathering those interested in the enjoyment of wine throu gh education, sharing and tasting. __________ Bridge – Ladies Afternoon - 1st & 3rd Tuesdays __________ Bridge – Ladies Evening __________ Bridge – Ladies Afternoon – 2nd & 4th Tuesdays __________ Bridge* – Couples Evening (* - activity encour ages spouses / partners to attend) Please list any activities that you would be interested i n chairing or co - chairing: ________________________________________________________________________________________ Please list any activities you would like to a dd to the current list: ________________________________________________________________________________________ 2014/2015 Membership Dues - paid before June 30 th , 2014 are $25, after June 30 th , , 2014 are $30, after January 1 st , 2015 are $15. Please mak e checks payable to Encores and mail to: Encores, PO Box 285, Doylestown, PA 18901 Any questions, please contact Cindy Edwards at 267 - 424 - 4920 or cindy.ee@me.com