Comus club

2008-09 MEMBERSHIP ENROLLMENT and RENEWAL FORM

 Please print this form, fill out completely and mail with your dues payment to:

 

Comus Club Treasurer, Shari Mays

2635 Shepardson Street

Bellingham, WA 98226

 

Member Name____________________________________________________________

                      First                                  Last                                      

Spouse Name____________________________________________________________

                      First                                 Last                                     

 

Mailing Address__________________________________________________________

                                 Street                                                            Apt. # 

 _______________________________________________________________________

            City                                       State/Province                     Zip/Postal Code

 

Telephone __________________________________________

 

E-mail Address_______________________________________

  

__	I have enclosed my Dues for 2008-09 in the amount of $650 ($130 per dance for all five dances)
__	I am a past member of Comus and can only attend the following dances: October □      December□      February□      March□      May□ I have enclosed my Dues for 2008-09 in the amount of $150 per dance
__	I am a new member of Comus Club and I understand new members must be sponsored by a current Comus Club member. My Comus Club sponsor for 2008-09 is: Name________________________________ Telephone Number______________________ Email Address _________________________

 Make Checks Payable to Comus Club