American Women's Club of
Luxembourg a.s.b.l.
51 rue Marie-Adelaide
American Women's Club of
Luxembourg a.s.b.l.
51 rue Marie-Adelaide
MEMBER'S APPLICATION 2007-2008 New Member __ or Renewal __
Please
Print Your Name As You Would Like To Be Listed In Our Directory * INDICATES
REQUIRED FIELD
|
*First Name_____________________________________________________
*Address_____________________________________________________
*Mail Code ______________*City/Commune
_______________________ E-Mail
__________________________________________
*Telephone______________________________Fax _____________________________ Mobile________________________________
Date arrived in
*Nationality_______________________________ If American: In
which state are you registered to vote?
_____________________
Your Age Group (Please Circle) 20-25 26-35 36-45 46-55 56-65 65+
Professional Background ____________________ Are you
currently working (Y) or (N) Company Affiliation___________________
Special Skills, Hobbies or Interests:
_________________________________________________________________________________
Birth date: Month___________ Day_______ *Partner's Name ________________________ *Nationality _____________________
Profession _________________________ Company
Affiliation ___________________________________________________________
Children's Names (if living at home) Ages School
Attending
The Club has organized
activities in the DUES: Dues may be paid in any of the following
ways:
following areas. Please circle any/all that
you are interested in. 1) Through your bank or any post office by virement to
The American Women's
Club
Acct. No. LU75 0019 1000
7359 6000
BCEE,Caisse d'Epargne
de l'Etat.
Arts and Crafts Hiking 2) In cash at the
Monthly meeting;
Bible Club Moms and Tots 3) In cash at the Clubhouse during opening hours.
Book Club Monthly Brunch
Unless Membership Chair
is informed, your name and personal information (name, address, telephone, etc)
will be published in the Grapevine and in our Membership Directory.