2008 Membership Application
Full Year (January thru December) Membership $22
This membership includes reduced rates for special club activities and a bi-monthly newsletter.
Please print clearly!
Last Name: _____________________ First Name: __________________
Address: _____________________________________________________________
City: ____________________________ State: __________ Zip: ________________
Telephone: ____________________________
Birth Month & Day: ____ / ____ (no year required)
Club Telephone Directory: A directory will be made available to members who wish to have their name and phone number published.
Yes ________ No ________
Please enclose your email address so we can send you important updates.
After sending us your application, please send an email to: yardleysinglesclub@yahoo.com to confirm the email address you have provided us. Put your first and last name in the email. Thanks.
E-mail address: ______________________________________________________
We do not disclose your phone number or email address to anyone
without your permission.
Are you willing to host a house party in your home? Yes: _____ No: _____
Visit the website at www.yardleysingles.org, call the hotline at (215)-736-1288 or email us at yardleysinglesclub@yahoo.com.
Please mail this application with a check for $22.00 to:
Yardley Singles Club, Inc.
P.O. Box 563
Yardley, PA 19067
