membership/renewal form

BROWN COUNTY COMMUNITY WOMEN’S CLUB
MEMBERSHIP APPLICATION 2015-2016
Name__________________________________________________________Phone___________________________
(Please PRINT as you wish it to appear in club directory)
Address_______________________________________________City/Zip__________________________________
Email____________________________________________________________
(
) Check to NOT include email in directory.
(Solely for club business purposes: published in directory, communications and newsletter links)
Please check ______ New Member ________ Renewing Member
:
MEMBERSHIP DUES: To be paid by June 1, 2015. $35/year or $50 if you wish to receive the monthly newsletter
and other forms by postal mail. Please make your check payable to: BCCWC.
MAIL TO: Esther Hartzheim, 1272 Oregon Street, Green Bay, WI 54303
BCCWC is a community service organization. Members are encouraged to participate on a committee or volunteer for
community service or fundraising activities. Please visit our website BCCWC.org for additional information.
______ Check here and a club member will contact you to answer your questions about BCCWC.
Social Committee:
Sept*
Oct
Nov
Dec*
Jan
Feb
Mar
Apr
May*
Please circle the month you can help host a general meeting or a luncheon *.
Circle to volunteer for the following community service/fundraising activities:
Blood Drives
Bridge Marathons
Card and Game Day
Christmas Distribution
Christmas Families
Clothing Collections
Coats for Kids
Ft. Howard Apts. Luncheon
Festival Food Brat Fry
Food Pantry Drives
Gardens at Kress Library
Gift Card Sales
Golf Outing
House of Hope
Pet Therapy
Restaurant Fund Raisers
Santa’s House
St. John’s Homeless Shelter
St. Vincent DePaul
Wellspring
Younkers Community Days
Yum-Yum Shoppe
Working with Children
Working with Elderly
What interests and talents could you share with BCCWC?
(Computer Skills, Writing, Photography, Marketing, Crafts/Sewing, Cooking, Gardening, ????)
Directors/Co-Directors may be needed for the following Board Committees:
Please circle if you are interested in serving or would like more information about being a director.
Community Service Projects
Communications
Membership
Programs/Social
Fundraising Projects
Publicity
Fellowship/Trips
The Brown County Community Women’s Club is a non-profit organization founded on community service
supporting Brown County since 2008.