1. New Member Registration
Name
Birthday (month/day)
Street Address
Spouse/Partner’s Name
Home phone
Primary
Mobile phone
How did you hear about us?
The info above will be included to our member roster. Please let us know if you prefer not to have any part of the info included. Our member rooster is a password protected document which is only sent to current members. Note: all communication is done via — please provide an address that is appropriate for this use.
Dues: HWWL has annual member dues of $___________ ($______ if joining after April 1st).
Checks made payable to: HWWL
You may mail your check & membership form to:
Amy Chandler
10554 Lincoln Dr.
Huntington woods, MI 48070
HWWL USE ONLY
Membership date:
Registration received:
Dues Paid: