MEMBERSHIP APPLICATION

  Dues are $35.00 for the club year from September 1 through May 31. They are due by July 1st for the member to be listed in the membership directory. Checks may be placed in the Membership slot, in a small plastic bag, at the WSW mailboxes. They are located on the side road just before you exit Cypress Village on Cypress Blvd W at Hwy 19. Or mailed to Membership Director, 100 Cypress Blvd W, Homosassa, FL 34446 Please type or print the information requested below:

Name:

________________________________________________________

Type of membership: New ____ Renewal ____Reinstatement ____ Associate ____

Address:_____________________________________ Phone No. _______________________

E-mail: ______________________________________ 

Birthday (month/day)_ _____________

Special skills, talents or areas of expertise (Computers, photography, fundraising, accounting/bookkeeping/CPA, tutoring). _____________________________________________________________________________

Committee you would like to help on (Community Services, Education & Scholarships, Programs, Communications or Fundraising (Fashion Show, Golf Tournament, etc.).

____________________________________________________________________________

Any questions about membership contact: Jeanne  Warde

jewarde@outlook.com or call

512- 636-4310

WSW is a 501(c)(3) organization