You may pay your dues to the Membership Chairperson, Joan Landreth for the current year.  

Membership Application for the Island Estates Women’s Club - 2017 - 2018

Name ______________________________________________________

Husband/Significant Other _______________Birthdate (M/D/Y) ________

Local Address ________________________________ Unit ____________

Summer Address ______________________________ Unit ____________

Summer Dates __________________ Summer Phone ________________

City __________________________________ State _______ Zip ______

Telephone _________________________________________

Newsletter by snail mail  OR  e-mail  (circle one)

E-mail Address: ___________________________________________________________________________________________  
(E-mail address will not appear in the yearbook)

Member: Dues are $21.00 (a resident of Island Estates)

    Associate Member: Dues are $26.00 (a member in good standing who moves away from Island Estates)
   Sponsored Member: Dues are $26.00 (sponsored by a regular or associate member in good standing.)

Sponsoring Member__________________________________

If you are a new member, how did you hear about us? (Circle one)
Website    Facebook    Word of Mouth   Another Member    Newspaper   Other

Would you like to serve on the Board or a Committee?  ____  YES

Make checks payable to I.E.W.C. 
Please send to: Joan Landreth, 
2998 Fieldbrook Place, Clearwater, FL  33761

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