The Swedish Club of Houston
Membership Application/Renewal Form

Annual Dues:
$35 Family Membership
$25 Individual Membership
$10 Student Membership

Name(s):   
Address:  
Phone Number (incl. area code): Home

Work
E-mail Address: Home

Work
Please e-mail my newsletters to:
Home
Work
Both
Neither. I prefer hardcopy.

Please note before pressing Submit:
Application is not complete until payment is received.

Make checks payable to: Swedish Club of Houston

Please mail payment to:
The Swedish Club of Houston
c/o John Stavinoha
807 Mulberry Lane
Bellaire, TX 77401

(This address will display on the next page)