DIRECTORY INFORMATION .............................................................................................MEMBERSHIP DUES


We will be printing a new directory to be distributed at our November meeting. We need the following information - please print the information clearly.

Name _________________________________ (Maiden Name) ______________________

Address ______________________________________________________________________

City ___________________________ State ____________________ Zip ________________

Telephone (____) ____________ Birthday Month ___________ Day _______________

e-mail address ___________________ Fax# (_____) _________________________________

Please list Family Members to be covered under Family Membership (Children/Grandchildren under the age of 18)


Please check if this is an address (or other) changesto the membershipdirectory since latest copy was published.


Please complete this form and bring it to the October luncheon with your check for $15.00 (individual) or $25.00 (family) for the Welsh Club of the Milwaukee Area annual dues. (Please make out a separate check to pay for your luncheon) If you are unable to attend the luncheon, please mail this form promptly, along with your check made out to Welsh' Club of the Milwaukee Area to:

Anna Mae Badciong
430 N. Wales Rd.
Wales, WI 53183

Please check the committees listed below on which you would be interested in helping. The committee chairperson will contact you with further information.

___ Luncheon ___ Membership ___ Music ___ Memorial

___ Scholarship ___ Ways & Means ___ Publicity ___ Legislative

___ Museum ___ Historian ___ Program ___ Sunshine

__ Folk Fair ___ Country Inn projects ___ Brochure ___ Hospitality/Greeters

Suggestions for programs, meeting places, etc. _____________________________________________________
___________________________________________________________________________________________

Please mail your subscription to the Ninnau to Sue Stealey. DO NOT SEND IN WITH YOUR MEMBERSHIP FORM. PLEASE DETACH THIS SECTION AND MAIL TO Sue Stealey, 5133 Washington #5-F, Downers Grove, IL 60515-4749

____ I would like to subscribe to the Ninnau/Y Drych at the group rate of $18.00/year. My check in the amount of $________ made out to the Ninnau is enclosed.

NOTE: A separate check must be written since it will be forwarded to the Ninnau with your order. The group rate is available only when sending in your membership or at a meeting. If not paying at the meeting or with this flyer, send your Ninnau check, directly to the Ninnau/Drych chairperson, Sue Stealey, 5133 Washington, #5-F, Downers Grove, IL 60515-4749.


Welsh Club
of the Milwaukee Area
Vicki York, Newsletter Editor
725 Lexington Blvd.
Fort Atkinson, WI 53538-1369 FIRST CLASS

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