Women of West Islip
P.O. Box 476
West Islip, New York 11795
Membership Application 2018
Name:________________________________ Address:_______________________________
Phone:_______________Cell:______________
Email:_______________________
Birthday: Month/Day__________
The following committees are of interest to me:
Scholarship________CommunityService____Fundraising______
SpecialEvents______Other____________________
Directory___________Website______________
Sharing interests:
Do you have an interest or skill that you would like to share with other members at one of our monthly meetings? If so, please explain:
With your membership we include you in our business directory
This directory will be used for networking within our organization. If you wish to be included in the directory, please list your business and include your name, address and contact information.
Annual membership is $20.00. Please make checks payable to Women of West Islip and either hand it in at meeting or mail to
PO Box 476, West Islip, NY 11795 Do not write below this line. Office use only.
**************************************************************** Paid ___Cash_____Check________ Rec'd by:______ Email by laws:______Directory_____Decal____