First Name *

Last Name *

Address (Street, City, State, Zip Code) *

Which subdivision do you live in? (if applicable)

Email *

Phone *

Occupation *

Shirt Size *

What is your favorite theme song? *

Experience & Talents *

What skills and interests do you have that may be helpful to a club committee?

Which standing committee(s) would you like to serve on (please review committee descriptions on the club website for more information)? *

Community Outreach (volunteering in community)

Juniorettes (mentoring middle school girls)

Membership (serving members)

Philanthropy (granting funds)

Ways & Means (planning fundraising events/sponsorships)

How will you pay your membership dues? *

Credit card (next screen)

Check

Zelle

After submitting this membership form, you will be directed to pay your annual dues via credit card. You can also pay via Zelle, check, or cash through the instructions below:

Payment Options:

Credit or debit card via lemontjuniorwomansclub.org
Zelle to ljwctreasurer@gmail.com *put membership dues and your full name in memo line
Mail a check payable to LJWC to our PO Box 563, Lemont IL 60439 *include full name in memo line
Drop off cash/check to treasurer Alex Prodehl, 91 Timberline Drive, Lemont, IL 60439

By applying, I agree to be photographed and/or filmed and give LJWC unlimited permission to use my likeness in promotional, social media, and/or marketing materials without notice or compensation.