ST. JOHN'S WOOD WOMEN'S CLUB
MEMBERSHIP APPLICATION SEPTEMBER 2007—JUNE 2008

Membership fee is £40.

Please make cheque payable to SJWWC and mail to:

SJWWC Membership

Box 185, 176 Finchley Road, London NW3 6BT

For more information, please contact: Kathy McMahon at membership@sjwwc.com

Choose One: □ RENEWING MEMBER □ NEW MEMBER

(Please print)

NAME: ____________________________________________________________

PARTNER'S NAME: _________________________________________________

For New Members and Members with changes to address, phone or email:

ADDRESS: _________________________________________________________

_________________________________________________________

_________________________________________________________

TELEPHONE: ______________________ MOBILE: ______________________

EMAIL: ___________________________________________________________

BIRTHDAY: MONTH: ______________________ DAY: __________________

For Non-UK Members only:

To receive monthly newsletters by mail is an additional £20 per year. If you wish to

receive these mailings, indicate here and remit an additional £20. Yes ___ No ___

For New Members only:

Moved from [City, State/Province, Country]: ______________________________

SIGNATURE: _______________________ DATE: _____________

By supplying your information, you agree that St. John's Wood Women's Club membership information and images are NOT to be used for commercial purposes without prior authorization of the SJWWC Executive Board. The above details will be stored on computer and used only for the purposes of the Club as determined by its Board and/or stated in its Bylaws. Membership dues are non-refundable and membership is not transferable. By signing up for Club events and activities, you acknowledge that participation is at your own risk.