Form

Member Interest Form - JL of Longview

Name

Spouse's Name

Children's Name and Ages

T-Shirt SIze

Do you have Facebook?

Street Address

Street Address 2

City

State

ZipCode

Cell Phone

Work Phone

Email Address

Please list any current employment, job title, responsibilities (if applicable)

Date of Birth

Age as of January 31, 2021

How long have you lived in the Longview area?

List any additional information (eg. Education, interests, etc.)

Please list any prior community involvement/service in which you have participated in Longview or other communities.

Why are you interested in joining the Junior League of Longview? What do you hope to accomplish by being a member of the Junior League of Longview?

Signature

This Application for Membership to the Junior League of Longview must be completed on or before January 31, 2021.

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