Registration Form

Holland Club of New Orleans Louisiana
www.hollandclubnola.org



I, (We) the undersigned, would like to join the Holland club of New Orleans. Therefore, I (we) agree in joining the Association by paying the annual dues and accepting the decision of the members/ Board of Trustees as stated in the bylaws.

Please, type the information as you would like it to appear in the Directory.
Last Name:

First Name:

Spouse:

Street:

City:

State:   Zip:
Phone Number:
     Home: ()
     Cell: ()

E-Mail:
Today's Date: MM/DD/YYYY / /  

Dues:

Family $25.00
Single $15.00

Signature:


Please print, sign and mail this form with (check payable to Holland Club) to:


The Holland Club of New Orleans
Attn: Cily Winkeler, Treasurer
38 Yellowstone Dr.
New Orleans, LA 70131


You may also present this form at any of our meetings.
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