Membership Application

Text Box:

For more information on Membership Contact Cathy Quinn   209.602.4366  cathyq@quinnlaw.com

San Joaquin Valley Swiss Club, Inc.

P.O. Box 373  Ripon, CA 95366

 

APPLICATION FOR MEMBERSHIP

 

I, hereby, apply for membership in the San Joaquin Valley Swiss Club as requested below:

 

Check applicable ones below:

 

    REGULAR MEMBERSHIP:  Any Swiss or American of Swiss Descent

    SPOUSAL MEMBER:   Any Spouse of a Regular or Social Member. Co-application for Spousal Membership.  No extra dues.

                          Application is for Spousal Membership only.  My spouse (legal husband or wife) is already a member in good standing,

                          therefore no fee or dues are required.

     PASSIVE MEMBERSHIP:  Any non-Swiss whose spouse is Swiss or American-Swiss

             Automatically becomes a Regular Member after 5yrs

     SOCIAL MEMBER:  Any non-Swiss.  Automatically becomes a Regular Member after 5 yrs

 

PLEASE PRINT –

 

Applicant/Member Full Name              Date of Birth

 

Spouse’s Full Name                    Date of Birth

 

Address:  Street    City   State    Zip

 

Home Phone Number     Applicant’s Cell Number

 

Work Phone Number        Spouse’s Cell Number

 

Applicant/Member Email:       Spouse Email:

 

If surname is not of Swiss Origin, state claim to Swiss Heritage if applying for Regular Membership:

            

             Enclosed are my first calendar year’s dues of $40.00, plus the one time initiation fee of $10.00  making a total of $50.00, which I understand is

                          refundable if for any reason this application is not accepted (Make check payable to SJVSC).

 

             I understand that I will be contacted to volunteer and as a member need to help at least once a year.

 

SIGNATURE OF APPLICANT              DATE

 

SIGNATURE OF SPOUSE                       DATE  

 

I do not wish to be notified of deaths and funeral arrangements of deceased members.

I wish to receive death notification by                  mail   email

 I wish to receive newsletters by                           mail   email

 

Print & Mail with Payment to:         SAN JOAQUIN VALLEY SWISS CLUB

                                       ATTN: MEMBERSHIP OFFICER

                                                                 P.O. BOX 373 RIPON, CA 95366

 

             (Spousal Memberships that require no payment can be emailed to sjvsc@riponswissclub.com)

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OFFICE USE ONLY

______  Dues Deposited                                                              ______  Card & Letter Mailed

______  Accepted Monthly Meeting                                          ______  Email acceptance Letter

______  Copy to Secretary