Membership application for the Notre Dame Club of Southwest Florida
Welcome to the Notre Dame family!
| _______ |
Full time resident member. January 1, 2010 to December 31, 2010 |
$30.00 |
| _______ |
Young Alumni member. January 1, 2010 to December 31, 2010 |
$15.00 |
| _______ |
Winter resident member. January 1, 2010 to December 31, 2010 |
$15.00 |
In addition, I/we would like to contribute $________to the Scholarship Fund to assist Lee & Charlotte County students attending ND (tax deductible).
Membership information:
| Name |
__________________________ |
| Address |
__________________________ |
| City |
__________________________ |
| State |
___ |
| Zip code |
________ |
| Email |
__________________________ |
| Telephone |
__________________________ |
| Seasonal address |
__________________________ |
| Seasonal telephone |
__________________________ |
Please provide the following information:
| Notre Dame Class of |
_____ |
| Parent of current/former student |
_____ |
| Friend of |
_____ |
| United Irish of Southwest Florida |
_____ |
Interested in getting involved (please check off):
| General volunteer |
_____ |
| Board of Directors member |
_____ |
| Corporate sponsor of Club events |
_____ |
| Young Alumni events |
_____ |
| Community service |
_____ |
| Notre Dame Club Golf event |
_____ |
| Volunteer at Notre Dame Game Watches |
_____ |
Please send check (payable to Notre Dame Club of Southwest Florida) to:
John (Tiny) Conaton,Treasurer to the Notre Dame Club of Southwest Florida address below:
Notre Dame Club of Southwest Florida
131 Southwest 42nd Terrace
Cape Coral, FL 33914
Email: irishtiny@embarqmail.com
