Italian American Civic League of Fort Lauderdale FL

2310 N E 7th Avenue, Wilton Manors, FL

NEW MEMBERSHIP APPLICATION

Name:
Date:
Address:
City State Zip
Home Phone # Cell Phone #
Email address
Heritage (Italian or Italian Descent):
Married/Partner to Italian
Place and Date of Birth
Occupation
Full or Part time Resident
Secondary Address:
City State Zip
Home Phone #
Cell Phone #
Recommended by
Amount Due Paid

In applying for membership, I (we) understand that the Italian American Civic League of Fort Lauderdale is an IRS approved non-profit organization. It is run entirely by volunteer members, elected by the membership, who rely on other members to contribute their time and assist with the successful operation of the club. If elected for membership I (we) agree to use my (our) best efforts to help with running the various activities and to cooperate with reasonable requests for help. I (we) hereby declare that the above statements are correct and that I (we) will abide by all rules and by-laws of said club.