PALM HARBOR NEWCOMERS CLUB
2010-2011 REGISTRATION FORM
P.O. Box 2158
Palm Harbor, FL 34682
Date___________
Name (Print)_______________________________________Month of Birth_________
Husband's first name:_______________
Address______________________________City_________________ZIP____________
Subdivision name_______________What state are you from?____________________
Are you a full time Florida resident?________ Home telephone # ________________
Email address____________________________________________________________
Hobbies/Interests/Skills____________________________________________________
MEMBERSHIP FEE: $25.00 Renewing member?_______
How did you hear about our club?___________________________________________
Part of having FUN in PHNC is serving on the Board or on one of the club's committees.
There is often a need for voluteers to help either on the Board and/or a committee. Which of the following would be of interest to you?
EXECUTIVE BOARD
ACTIVITIES COMMITTEES
ACTIVITIES COMMITTEES___Pres. Elect (Plans Programs) ___Arts & Antiques
___Arts & Antiques___1st VP (Plans Special Events) ___Book Sales (Sales and Collection)
___Book Sales (Sales and Collection)___Recording Secretary ___Bunco
___Bunco___2nd VP (Directory/Dues/Collection) ___Canasta
___Canasta___Corresponding Secretary ___Couples Bridge
___Couples Bridge___Treasurer___Festival of Trees
___Festival of Trees ___Hand and FootGENERAL BOARD ___Holiday Cookie Exchange
___Holiday Cookie Exchange___Activities (Overview) ___Jewelry Sales (Also Collection)
___Jewelry Sales (Also Collection)___Cards/Games (Overall Planning) ___Ladies Night Out
___Ladies Night Out___Event Planning Staff Coordinator ___Lunch Bunch
___Lunch Bunch___Luncheon Signups and Greeting ___Lunch and Movie
___Lunch and Movie___Luncheon Table Decor ___Mah Jongg
___Mah Jongg___Newsletter ___Reading Club
___Reading Club___Nominating Committee Secretary ___Single Fun Seekers
___Single Fun Seekers___Pot-of-Gold Raffles ___Supper Club Planning
___Supper Club Planning___Publicity/Advertising ___Other Activities______________
___Other Activities_________________Website Chair
Level of Computer Skills ___None, ___Avg., ___ Advanced, ___Word, ___Excel
COMMENTS: ________________________________________________________________
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Palm Harbor Newcomers Club
