Newcomers Club of Amelia Island

2012 Membership Application
First Name: Last Name
Address: HomePhone:
City: Zip+4: Subdivision::
Email Address:
Moved From: Birth Month & Day:
Husband's Name: Renewing Member: New Member:

Work/volunteer experiences, hobbies, skills, interests, languages spoken:


Activity Groups
This is a volunteer organization and your help is vital to its success. The best way to meet people and enjoy the Club is to become involved. Check the activities, committees and events in which you are interested. Information on these activities is on our web site: http://newcomersclubofameliaisland.com/.



Suggestions for new Activity Groups, Luncheon Speakers, or other comments:
Annual Dues
All members are required to renew their membership at the beginning of each year.$30 Annual Dues, payable by the February Luncheon, which is February 23, 2012. There is a $15 Late Fee, in addition to the regular dues, if payment is not received by the February luncheon meeting. $20 Dues for New Members only joining between September and December. If you have questions, call New Member Orientation Chair Marcia Williver at 321-1867. Please make a separate check for your Annual Dues, payable to NEWCOMERS CLUB. Please do not combine payment for luncheons or activities with annual dues check. Print and return this completed form with your check to: Membership, Newcomers Club, P O Box 16242, Fernandina Beach, FL 32035-3121
I hereby release and hold harmless any member of the Newcomers Club of Amelia Island from any and all liability arising out of my participation in the activities of the organization. I give the Club permission to publish any photograph for any purpose of me or photograph which may include me with others:

Newcomers Club of Amelia Island · P O Box 16242 · Fernandina Beach, FL 32035-3121