MEMBERSHIP APPLICATION/RENEWAL FORM
Circle one: Today’s Date: ____/____/____
Mrs., Mr., Dr., Ms., or __________ Birthdate:
____/____/____
Name:
_______________________________________________________________________________________
Mailing Address:
______________________________________________________________________________
City________________________________ State:___________ Zip ___________
County____________________
Email Address:
________________________________________________________________________________
SS#_________-__________-_________ Phone #
(____) _____-____________ Date Retired: ____/____/____
Name of School District, County, Private School, College or University
retired from? _________________________
Educational Field(s)
____________________________________________________________________________
Membership Information
____New Member
____Renewal
Are you interested in working with one of our committees?
| __Archives |
__Health Care |
__Luncheon |
__Programs |
| __Community Service |
__Hospitality |
__Membership |
__Public Relations |
| __Cultural Affairs |
__Information
&
Protective Services
|
__Music |
__Retirement Planning |
| __Social Events |
__Scholarship |
__Sunshine &
Courtesy Cards
|
__Finance |
| __Legislation |
__Telephone Tree |
__Literacy |
__Nominating |
| __Web Page |
__Photographer |
__Scrap Book |
__Silent Auction |
| __Greeters & Attendance |
__Travel |
|
|
Meeting Times
| General
Membership - |
First Tuesday of each month at
Envision Credit Union, 401 N. Monroe. |
|
The meeting begins at 2:00 p.m. |
| Board
Meetings - |
The Wednesday before the first
Tuesday of each month at Envision Credit Union. |
|
The meeting begins at 2:00 p.m. |
LWREA/FREA Dues are $40/year
Please print, fill out
and mail along with your $40 check to:
Nanci Hamilton-Hoffman
1828 Wagon Wheel Circle West
Tallahassee, FL 32317
OR apply online at:
http://www.lwrea.com/