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AWC Membership application form - American Women's Club of the ...

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MEMBERSHIP APPLICATION<br />

AMERICAN WOMEN’S CLUB OF THE HAGUE<br />

Johan van Oldenbarneveltlaan 43<br />

2582 NJ The Hague<br />

Phone: 070 350 6007<br />

Email: info@awc<strong>the</strong>hague.org<br />

Website: www.awc<strong>the</strong>hague.org<br />

All applicants should complete both sides <strong>of</strong> this <strong>application</strong> <strong>form</strong> and return it to <strong>the</strong> <strong>American</strong> Women’s<br />

<strong>Club</strong> <strong>of</strong> The Hague ei<strong>the</strong>r by mail, email or deliver in person to <strong>the</strong> front <strong>of</strong>fice.<br />

Check <strong>the</strong> type <strong>of</strong> <strong>Membership</strong> for which you are applying. There is a one-time € 15 fee for new Members.<br />

<strong>Club</strong> Year is September 1 – August 31. Dues shown are discounted for joining after January 1.<br />

Regular = € 55<br />

U.S. citizen or married to a U.S. citizen and at least 18 years old<br />

Associate = € 55<br />

Business / Pr<strong>of</strong>essional<br />

= € 45<br />

Military = € 27.50<br />

Student = € 17.50<br />

Non-<strong>American</strong> whom ei<strong>the</strong>r holds a valid U.S. Green Card, <strong>form</strong>er member <strong>of</strong><br />

ano<strong>the</strong>r F<strong>AWC</strong>O <strong>Club</strong>, or has some o<strong>the</strong>r affinity with <strong>the</strong> U.S.<br />

U.S. citizen or married to a U.S. citizen and employed full-time in <strong>the</strong><br />

Ne<strong>the</strong>rlands<br />

U.S. citizen or married to a U.S. citizen, at least 18 years old and carries a U.S.<br />

military ID<br />

U.S. citizen or married to a U.S. citizen and studying full-time in <strong>the</strong><br />

Ne<strong>the</strong>rlands with a student ID<br />

Please print clearly and fill in <strong>the</strong> blanks as completely as possible.<br />

First Name*<br />

Last Name*<br />

Address*<br />

Postcode*<br />

Home Phone*<br />

E-mail*<br />

Nationality<br />

Occupation (past<br />

or present)<br />

Current<br />

Employer<br />

Partner’s Name*<br />

City*<br />

Mobile<br />

Phone*<br />

Birthdate<br />

(m/d/y)<br />

Home State<br />

in USA<br />

Educational<br />

Background<br />

Work<br />

Phone<br />

Nationality<br />

Employer<br />

Work<br />

Phone<br />

Children & <strong>the</strong>ir<br />

age<br />

*Asterisk items will be included in <strong>the</strong> <strong>AWC</strong> membership directory unless you request o<strong>the</strong>rwise.


The <strong>AWC</strong> is an all volunteer organization relying solely on its members to maintain all aspects <strong>of</strong> operations.<br />

As a member <strong>of</strong> <strong>the</strong> <strong>AWC</strong>, each member should volunteer for at least one activity or committee during <strong>the</strong><br />

year. Please check at least one <strong>of</strong> <strong>the</strong> following areas in which you would be willing to volunteer.<br />

Accounting / Bookkeeping<br />

Marketing / Public Relations<br />

<strong>AWC</strong> Board Position<br />

Welcoming / Newcomers<br />

Holiday Bazaar<br />

Going Dutch Magazine<br />

Tours / Activities<br />

Library<br />

<strong>Club</strong>house Administration<br />

Fundraising / Annual Gala<br />

Computers / IT Help<br />

Food Events at <strong>Club</strong>house<br />

Website<br />

Event Planning<br />

Moms and Tots O<strong>the</strong>r :<br />

How did you hear about <strong>the</strong> <strong>American</strong> Women’s <strong>Club</strong> <strong>of</strong> The Hague<br />

For Associate Members Only<br />

Do you hold a valid Green Card<br />

Have you been a member <strong>of</strong> ano<strong>the</strong>r F<strong>AWC</strong>O <strong>Club</strong><br />

Explain o<strong>the</strong>r ties or associations with <strong>the</strong> U. S.<br />

Yes / No<br />

Yes / No<br />

Reasons for wanting to join <strong>the</strong> <strong>AWC</strong><br />

Note: if you do not hold a valid U.S. Green Card or have not been a member <strong>of</strong> ano<strong>the</strong>r F<strong>AWC</strong>O <strong>Club</strong>, you must<br />

have two current regular members endorse your <strong>application</strong> before it can be processed. You will be notified <strong>of</strong><br />

your acceptance after <strong>the</strong> next scheduled board meeting.<br />

Sponsor’s Signatures:<br />

I understand that <strong>the</strong> <strong>American</strong> Women’s <strong>Club</strong> <strong>of</strong> The Hague (<strong>AWC</strong>) is a non-pr<strong>of</strong>it organization, and I promise<br />

I will not use <strong>AWC</strong>’s name, its publications, or my association with <strong>the</strong> <strong>AWC</strong> in connection with any<br />

commercial undertaking or in any o<strong>the</strong>r way contrary to <strong>the</strong> purpose and/or goals <strong>of</strong> <strong>the</strong> <strong>AWC</strong>. The <strong>AWC</strong> is<br />

not responsible for accidents or injuries occurring at <strong>AWC</strong> activities or on <strong>AWC</strong> property.<br />

Applicant’s Signature<br />

For Office Use Only<br />

Date Dues Paid<br />

Date <strong>of</strong> Application<br />

Payment Amount<br />

Publish in<strong>form</strong>ation in Directory Yes / No Payment Method<br />

Date

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