WACO/McLENNAN COUNTY AGGIE MOMS CLUB 2007-2008
MEMBERSHIP FORM MEMBER INFORMATION
Are you a ____new or _______ renewing member?
If renewing, member since _____________
Your Name: _________________________________________ Home Phone: _______________________
Spouse’s Name: _________________________________________
Work Phone: _______________________ Address: ______________________________________________
Cell Phone: ________________________
City, State, Zip _________________________________________ Email Address: ______________________
Employed by: __________________________________________ We contact all members by E-mail!! CHILDREN CURRENTLY ATTENDING TEXAS A & M
Child’s Name: ___________________________________________ Birthdate: ________________________ Complete Mailing Address: _________________________________ Class of: _________________________
E-Mail:_________________________________________________ Phone # _________________________
Child’s Name: ___________________________________________ Birthdate: _________________________ Complete Mailing Address: _________________________________ Class of: _________________________
E-Mail:_________________________________________________ Phone # _________________________
Child’s Name____________________________________________ Birthdate: _________________________ Complete Mailing Address: _________________________________ Class of: _________________________
E-Mail: ________________________________________________ Phone # _________________________
OTHER TEXAS A & M GRADS IN YOUR IMMEDIATE FAMILY
Name/Relation: _________________________________________ Class of: _______________________________ Name/Relation: _________________________________________ Class of: _______________________________ Name/Relation: _________________________________________ Class of: _______________________________ OUR ABILITY TO AWARD SCHOLARSHIPS DEPENDS ON YOUR PARTICIPATION!!!
PLEASE CIRCLE THE COMMITTEES/EVENTS THAT INTEREST YOU
Telephone Committee Hospitality Committee Yearbook Auction Exam Pack Committee/Baker Officer_____________________ Craft Group Sewing/Monogram Christmas Boutique Worker Spring Boutique Worker Other: _________________________________ Method of Payment: Cash __________
Annual membership fee is $20.00. No cash by mail please!
Please make check payable to Waco/McLennan Co. Aggie Moms Ck/Ck# __________
Please return payment with completed form to:
Tari Jurek Date recv’d_________
100 Cross Country Hewitt, TX 76643
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