RAVENS ROOST 73

LAIDBACK LENNYíS w 1814 TURKEY POINT RD w Baltimore, MD  21221

 

Application for Membership

 

Name:

 

DOB:

 

Name:

 

DOB:

 

Address:

 

City:

 

State:

 

Zip:

 

Phone:

 

Email Address:

 

Phone:

 

Email Address:

 

 

 

 

 

Sponsorís Name:

 

                   

 

Please provide answers to the following:

 

List other Clubs/Organizations you are currently a Member:

 

 

 

Have you ever been refused membership or expelled from a Ravens Roost?

YES

NO

If YES, please provide a brief explanation:

 

 

 

Have you ever been refused membership or expelled from any other Club/Organization?

YES

NO

If YES, please provide a brief explanation:

 

 

 

Are you willing to volunteer your time & talents in support of various Roost events?

YES

NO

 

What do you expect to bring to Ravens Roost 73 as an Active member?

 

 

 

What do you expect from Ravens Roost 73 as an Active member?

 

 

 

                   

 

If accepted for membership in Ravens Roost 73, it is expected that you will, at all times uphold the Constitution and By-Laws of the Organization.

 

Annual dues are $25.00 ($40.00 for couples residing in the same household) and are due at the time membership is accepted. The Membership Committee will hold all of the information supplied in this application in strict confidence.

 

 

 

 

 

 

Signature of Applicant(s)

Signature for Membership Approval

Date Accepted for Membership