TEMPLE OSEH SHALOM

MEN’S CLUB MEMBERSHIP FORM

YOU MUST BE A MEMBER, IN GOOD STANDING, OF TEMPLE OSEH SHALOM

TO BE A MEMBER OF THE T.O.S. MEN’S CLUB

 

THE DUES ARE $14 PER YEAR

 

PLEASE FILL IN THE INFORMATION BELOW.  IF ANY OF YOUR DATA HAS CHANGED, PLEASE UPDATE THE FORM.

 

NAME_______________________________________________________

 

ADDRESS_____________________________________________________

 

PHONE CONTACT_______________________________________________

 

E-MAIL ADDRESS _______________________________________________

 

SPOUSE/SIGNIFICANT OTHER’S NAME______________________________

 

WE NEED YOUR HELP TO ASSIST ON ONE OF THESE COMMITTEES PLEASE CHECK ONE BOX

 

PROGRAM_______  MEMBERSHIP________   PUBLICITY________ FUND RAISING______

 

COMMUNITY OUTREACH_________ GOOD AND WELFARE_______ OTHER________

 

ARE YOU A FULL TIME RESIDENT______________  PART-TIMER_____________

 

MAKE CHECK OUT TO T.O.S. MEN’S CLUB FOR $14

 

MAIL FORM & CHECK TO: 

LEW MEDOFF (TREASURER)

141 STRATFORD VILLAGE WAY

BLUFFTON, SC  29909

 

GENTLEMEN:  WE ARE LOOKING TO EACH OF YOU FOR SUPPORT AND PARTICIPATION THIS COMING YEAR, AND GOING FORWARD …