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Membership Application/Renewal Form
Annual dues are $35 for family membership and $25 for individuals.
Print and mail this form, with your check, to:
The Swedish Club of Houston
c/o John Stavinoha
807 Mulberry Lane
Bellaire, TX 77401
| Name: | __________________________ | Date: | __________________________ |
| Mailing Address: | Contact Information: | ||
| Street: | __________________________ | Home: | ( _______ ) ________________ |
| City: | __________________________ | Work: | ( _______ ) ________________ |
| State: | __________________________ | Fax: | ( _______ ) ________________ |
| ZIP: | __________________________ | E-mail: | __________________________ |
| The following optional information would help us plan club activities: | |||
| Single [ ] | Married [ ] | Spouse's Name: | ___________________ |
| Name(s) and year(s) of birth of children living at home: | |||
| ___________________________________________________________________ | |||
| Occupation: | __________________ | Spouse's Occupation: | ___________________ |
| Hobbies: | __________________ | Spouse's Hobbies: | ___________________ |
| For Club Use Only: | |||
| Member # ________ | Dues Paid ($) ________ | Date ________ | Initial ________ |
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Please sign The Swedish Club of Houston's guest book
The Swedish Club of Houston, Texas
URL - http://www.swedishclub.org/application.htm
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