Woodbury Women of Today

APPLICATION FOR MEMBERSHIP

YES I am at least 18 years old and want to make a difference in my community, make lasting friendships and increase my opportunities for success by becoming a member.

Name               _____________________________________

Address            _____________________________________

State                _________________     ZIP ______________

Date of Birth      _____________________________________

Home Phone     _____________________________________

E-mail Address  _____________________________________

Phone               _____________________________________

I would like to refer: __________________________________

Please make check in the amount of $50.00 for annual dues made payable to

Woodbury Women of Today:

Woodbury Women of Today
PO Box 251053
Woodbury, MN 55125