DATE: __________________________________________
I HEREBY MAKE APPLICATION FOR MEMBERSHIP IN
THE WOMEN’S TRAFFIC AND TRANSPORTATION CLUB OF BALTIMORE
NAME: MS. MISS MRS. MR. _________________________
ADDRESS_________________________________________________
HOME PHONE: _______________ CELL PHONE: ________________
BIRTH DATE: MONTH __________ DAY __________
HOME EMAIL ADDRESS:______________________________________
COMPANY NAME: ___________________________________________
BUSINESS ADDRESS _________________________________________
OFFICE PHONE: ______________ OFFICE FAX:___________________
EMAIL ADDRESS: ____________________________________________
NATURE OF BUSINESS :_______________________________________
POSITION WITH COMPANY: ____________________________________
REASON FOR MEMBERSHIP:____________________________________
DO YOU PREFER MAIL SENT TO YOUR: HOME_______ OFFICE ________
WOULD YOU BE INTERESTED IN SERVING ON A COMMITTEE?
PLEASE CHECK ALL THAT APPLY:
BUDGET/AUDITING _____ HISTORIAN_____
HOUSE RESERVATIONS____ PARLIAMENTARIAN_____
PAST PRESIDENTS’ LUNCHEON_____ PROGRAMS_____
PROJECTS_____ PUBLICITY_____
ROSTER _____ SCHOLARSHIP_____
SHRIMP FEAST/FINANCE_____ TRAFFIC “TIPS”_____
WORKING WOMEN’S BRUNCH/WOMAN OF THE YEAR_____
WEBSITE_____
MEMBERSHIP DUES: $30.00 PER YEAR. PLEASE ATTACH YOUR PAYMENT TO THIS
APPLICATION. YOU MUST ATTEND AT LEAST ONE MEETING TO BE CONSIDERED FOR MEMBERSHIP.
PROPOSED BY: ______________________________________________________
(SIGNATURE OF WTTC MEMBER)
SIGNATURE OF APPLICANT : __________________________________________
Paid Check #________ Cash_______ Initial Please________ Information Only_____
Application and Check may be mailed to: WTTC, P.O. Box 9022, Dundalk, Md. 21222
P.O. BOX 9022
BALTIMORE, MD
21222