To The Membership and Classification Committee, Zonta Club of Parker County: I would like to submit the following name for possible membership: HALF YEAR Dec – May 2017-2018
Sponsoring Member: ___________________________ Date:__________________________
Name_______________________________________ Date of Birth______________________
Home Phone______________________________ Cell Number_______________________
Business or Profession___________________________________________________________
Business Phone__________________________ Fax____________________________________
Location to receive Zonta Mail: ( ) home or ( ) business
Location to receive Zonta Email: ( ) home or ( ) business_____________________________
What is the individual’s executive position or title with their business?____________________
Does the individual give 50% or more time to the business or profession listed ( ) yes ( ) no
Other Civic and Club Affiliations:___________________________________________________
Yes I want to become a member of the Zonta Club of Parker County, and subscribe to the objectives of this organization.
Dues: $58.00 Annual membership dues-International and National
$15.00 One-time membership fee
$20.00 Local Dues
$____________Donation Made to International Foundation________
Lunches will be during each club meeting a $12.00 and you may pay at the door.
Please check the committees in which you would like to serve. ( ) Membership & Classification,
( ) Advocacy, ( ) Status Of Women Service & United Nations, ( ) Attendance & Fellowship,
( ) Programs & Intercity Committee, ( ) Scholarship Committee, and ( ) Finance.
Mail form and check to Zonta Club of Parker County
Zonta International is a leading global organization of professionals empowering women worldwide through service and advocacy
P. O. Box 2095 Weatherford, Texas 76086 www.zontaparkercounty.org