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GCTC December 2013 Newsletter.pdf


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THE GOLD COAST TREASURE CLUB, INC.
MEMBERSHIP RENEWAL FORM FOR 2014- PLEASE FILL OUT AND
SUBMIT WITH DUES
PLEASE PRINT
NAME:_________________________________Birthdate (Month&Day)______
SPOUSE:_______________________________Birthdate (Month&Day)______
CHILDREN LIVING AT HOME: _________________________________
____________________________Birthdate(Month &Day ) of each child
ADDRESS: ___________________________________________________
PHONE NUMBERS:______________________CELL PHONE:___________
EMAIL:___________________________________________
OKAY TO PUBLISH INFORMATION IN CLUB DIRECTORY: ONLY
FOR CLUB MEMBER ACCESS______________
OKAY TO RECEIVE CLUB NEWSLETTER BY EMAIL/WEBSITE______________
(Newsletter sent as PDF file; or can access by website)
The dues are $35 per year(Jan-Dec) ________(Due by end of Feb to prevent $5 late fee)
$5 to Join FMDAC (voluntary)_________
SIGNATURE_______________________________
DATE:_____________________________________
DUES PAID:_________________

CLUB ADDRESS:
GCTC
C/O Gail Hoskins
206 Russell Dr
Lake Worth, Florida 33461