Wiesbaden Community Spouses Club (WCSC) 2014-2015 Membership Application

Wiesbaden Community Spouses Club (WCSC) 2014-2015 Membership Application Make Friends – Make Memories – Make a Difference! Name: Last, First Name Birth Date: Month/Year Click here to enter text. Click here to enter text. Mailing Address: APO AE Click here to enter text. Click here to enter text.

Physical Address Housing Area: (if applicable) Click here to enter text. Click here to enter text.

Home Phone:Click here to enter text. Email Address:Click here to enter text. Mobile Phone:Click here to enter text.

Sponsors’ NameClick here to enter text. Unit/OrganizationClick here to enter text.

ID Card Holder If non-ID card holder, please provide the following information: Yes☐ Passport NumberClick here to enter Country of IssueClick here Expiration Date Click Birthdate text. to enter text. here to enter Click here to No☐ text. enter text.

☐Returning Member ☐New Member Referred By:Click here to enter text.

Volunteers are always needed and welcome: Please check next to any areas you are interested in helping with.

CommitteesChoose an item. LocationsChoose an item.

What is your preferred method of receiving information from WCSC. Please check all that apply. ☐Website ☐Email ☐Newsletter ☐Facebook Other (List)Click here to enter text.

I hereby give permission for the club to use my name, address, and phone number to be published in the club directory. What is your preferred distribution method of the WCSC Directory

I understand that photos taken of me taken at WCSC functions may be used in club promotional materials.

I understand that according to the WCSC Bylaws, Article III, Section 3.a, “A reservation for a WCSC function must be paid for unless it is cancelled within the specified time period and no additional reservation will be accepted for that individual until all previous obligations are paid.”

I understand that according to the WCSC Constitution, Article II, Section 5: “…Members may be personally liable to creditors if the assets of the organization are insufficient to discharge all liabilities.”

The WCSC Constitution and Bylaws are available for review on the club’s website at www.wiesbadenspousesclub.com. SignatureClick here to enter text. DateClick here to enter a date.

Dues: Full Year (June to May) - $25.00 Half Year (January to May) - $10.00

Make checks payable to WCSC and mail to: Wiesbaden Community Spouses Club, Attn: Membership, CMR 467 Box 7000, APO AE 09096 Questions? Email us at [email protected] or visit our website at www.wiesbadenspousesclub.com.

For Club Use Only:

Payment Method: Cash _____ Check #_____ Initials _____ Date Received _____