Membership form



See meetup.com page about dues 
Name:

Address:




Phone:

E-mail:
 
Optional data:
Meetup.com name:  
 



Your birthday: (Don’t have to offer the year but the club will send you a card)


What new activity would you like the group to do:


 

Suggestion for topics/speakers/etc.:



Are you interested in hosting events or becoming an officer?


Your hobbies:



The membership year for Moving On is from January 1st to Decemeber 31st


Make $15.00 check out to "Moving On"


New Address:

Moving On
c/o Diane Knowlton
110 Ethel Street
 Syracuse New York 13207
 
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