[jimbo2012]

To save time at our club functions signing up here is a App

LONG ISLAND CLUB
MEMBERSHIP APPLICATION

First name_____________________Last________________
Spouse/significant other_____________________________
Tel #’s___________________,________________________
Email’s___________________,_______________________ _
Village____________________
Town from Long Island______________________

Annual dues $5.00 per person
Mail to: Long Island Club
PO Box 1326
Wildwood, Fl 34785

Please print

Also a word doc to print.