MEMBERSHIP FORM FOR 2011-2012 Welcome to the Seacoast Newcomers Club. We look forward to a great year of renewing old friendships and making new ones.  If you have any questions about membership, please contact: Sue Luby: sue.luby@yahoo.com Cynthia Colvin: cyndilou12345@yahoo.com Please Print Clearly Name: ______________________________________________________ Spouse Street:__ ____________________________________________________      City: _______________________________ State____ Zip___________ Phone (include area code): ________________________________ EMAIL: _______________________________________________________ Cell Phone: (include area code)_____________________________ Your Birthday: (Month & Day) _________________________________ Where did you hear about us? ______________________________ Moved from: (city, state) _______________________________________ Newsletter Preference (check one or both)             _____________ Email to me                                                                          _____________ Mail me a paper copy                                                                        Please note which Special Interest Groups interests you: _____________________________________________________________ ___________________________________________________________ Our year runs from July through June, and dues are payable by July 15th. Annual membership dues are $30, which includes a $5 charitable donation.  Dues are $15 for those joining after January 1 ($5 donation) or for those whose permanent residence is over 100 miles from the area.  After attending two club functions, membership is expected.  PLEASE FILL OUT THIS FORM (EVEN IF YOU ARE A RETURNING MEMBER), AND MAIL IT, ALONG WITH YOUR CHECK FOR EITHER $30 OR $15, PAYABLE TO SEACOAST NEWCOMERS CLUB TO: Sue Luby 83 Darcy Road York, Maine 03909