Last Name:
First Name:
Address:
City: State: Zip:
Phone #:
Date of Birth:
Are you related to any member, in good standing, of The Erie Maennerchor Club? Yes No
Name:
Relationship:
Business or Profession:
Name of Firm:
Business Address:
City:
State:
Zip:
Business Phone Number:
Check Mailing Address Desired: Residence Business
Spouse's Name:
Have you ever been convicted of a felony? Yes No
Have you ever been rejected for membership in a social or fraternal organization? Yes No
If YES, give name, place and reason:
Primary Sponsor Last Name:
Primary Sponsor First Name:
Primary Sponsor Phone Number:
I understand that falsification of information contained herein will result in the forfeiture of my right to apply for membership in the Erie Maennerchor Club.
I agree that I will adhere to the constitution, bylaws and house rules of this society.
After submitting the application, someone will contact you within a few days.
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� 2003 Erie Maennerchor Club email webmaster
updated 07/31/03