Name:___________________________________________________________ Address:_________________________________________________________ Email address:_____________________________________________________ Home phone:_______________________Mobile:__________________________ Moved here from:___________________________________________________ Years residing in area:________________________________________________ Spouse/partner:____________________________________________________ Birthday:_________________________________________________________ I am interested in the following activities: Book Club – Discussion Group – Lunch Bunch – Wine Appreciation – Bocce Ball – Game Day – Mahjong – Creative Crafts – Girls'Nite Out – Out and About – Do you have a special talent/interest you would like to share with the group? Please tell us all about it!__________________________________________________________ ________________________________________________________________ The membership fee is $30/year. You have the option of printing this form and bringing it to your next meeting or emailing it to the membership chair. Checks have to be made out to: Newcomers and Friends and sent to address TBA by email. Or PayPal your payment to: lgsmsnewcomers@gmail.com