MEMBERSHIP APPLICATION FORM

 

 

NAME ___________________________________________________________________  DATE _____________________

 

STREET ADDRESS ____________________________________________________________________________________

 

CITY/STATE/ZIP CODE _________________________________________________________________________________

 

PHONE NUMBER (circle preferred number to use)   Home ________________________  Cell _________________________

 

E-MAIL ADDRESS (for monthly newsletter distribution and/or other Club correspondence) ___________________________

 

___________________________________________________________________________________________________

 

BIRTHDAY (month/day) ________________________________________________________________________________

 

SPONSOR (if applicable) _______________________________________________________________________________

 

HUSBAND/PARTNER  __________________________________________________________________________________

 

HOBBIES: if you play card games, please include which one(s):_________________________________________________

 

___________________________________________________________________________________________________

 

WOULD YOU BE INTERESTED IN HELPING ON COMMITTEES IF NEEDED (circle one)?       YES       NO  

 

HOW DID YOU HEAR ABOUT GENETASKA? _________________________________________________________________

 

LUNCHEON MEETINGS ARE HELD ON THE THIRD WEDNESDAY OF THE MONTH AT VARIOUS RESTAURANTS IN THE AREA. 

 

DUES ARE $25 PER YEAR, PAYABLE ON JANUARY 1ST.  DUES FOR INDIVIDUALS JOINING AFTER JUNE 30TH ARE $12.50 AND PAYABLE IMMEDIATELY.

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OUR CLUB’S HISTORY

 

The Club was organized in January of 1947 under the name, Women of Kiwanis (wives of Kiwanis Club members).  In 1988, the Club voted to include women other than Kiwanis wives in order to enhance and increase its membership.  The Rochester Chapter is the oldest and only Genetaska Club in existence.  Currently, we have over 100 members.

 

Genetaska means “helping hands.”  Our purpose is to help serve those in need in our community.  Our warm fellowship, resolute purpose and dedication have brought about many outstanding accomplishments.

 

 

MAIL THE COMPLETED FORM OR

FOR MORE INFORMATION:

Ann Wendl

2 Arbor Ct

Fairport, NY  14450

585-425-7984