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Friends of Lucia 2017

$ 1000
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$ 195
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20%
Updated
15 Jun 2017

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Membership Application/Renewal Form

Required fields are indicated by an asterisk (*)


Membership Type *
Annual Dues *
Intended Method of Payment *
Name(s) *
Names(s) and birth year(s)  
of children living at home:
Address *
Phone (incl. area code) - Home: * (#'s only; no dashes/spaces/punctuation)
Work: (#'s only; no dashes/spaces/punctuation)
E-mail - Home: *
Work:
Please e-mail my newsletters to *

The following optional information would help us plan club activities:
Occupation:
Hobbies:
Marital Status:
Spouse's Name:
Spouse's Occupation:
Spouse's Hobbies:

Yes! I would like to serve on the Board:

Yes! I can help chair/co-chair an event:

I prefer to help "behind the scenes" with an event:
Security code *


Please note before pressing Submit:
Application/renewal is not complete until payment is received.

If paying by check:
Make check payable to Swedish Club of Houston and mail to:

Swedish Club of Houston
c/o Karen Wolz
4526 Waynesboro Dr
Houston, TX 77035

(This address will display on the next page)

If paying by credit card:
After clicking Submit, you can use PayPal!