Membership Application
(Annual Dues: $35)



 c Family Membership          c Single Membership           c Associate Membership


Your Name:
DOB:
Spouse Name: DOB:


Minor Children:
 Child:

  

Age:
Child: Age:
Child: Age:
Child: Age:


Address:
City/State: Zip:
Hm Phone: Wk Phone:
Email:
Referred by/How did you hear about our club?

Committee Interests:

c Membership  c Food  c Newsletter
c Social Functions  c Dance Group  c Community Projects
c Phone Committee  c Publicity & Promotions  c Language Education



Mail to: 
Italian American Club of Boise
c/o Joe Dechristefero, Treasurer
3610 N. Bottle Brush Ave.
Boise, ID  83713

 

Questions?  Email: Membership