American First Italian Always

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American Italian Association
of Hollywood Estates

 

2838 Westberry Road, Jacksonville, FL 32223

Mailing Address:  P.O. Box 600725, Jacksonville, FL 32260

Tel:  (904) 268-2882

 

 

CALENDAR OF EVENTS

 

02/01/08 - Pizza Night/Bingo

02/16/08 - Valentine's Day Sock Hop

02/29/08 - Pasta Night

Friday Night Bingo

Dinner Meetings on the 2nd Sunday of the month

 

 

Membership Application

 

Application Fee of $10.00 plus membership dues must accompany this application.  Annual dues are $35.00.  The membership year is the period of July 1st through June 30th.  New membership dues will be pro-rated from the month of member acceptance to the Club until the following June 30th.

 

Name:                                                                                                   

Address:                                                                                                  

City:                                           State:                       Zip:                       

Phone (Home):                                       (Work)                                       

E-mail Address:                                                                                       

Occupation:                                                                                           

Self-employed:                                       Retired:                                       

Date of Birth (Month & Day:  year optional)                                               

Spouse's Name:                                                                                           

Spouse's Date of Birth (Month & Day:  year optional)                                   

Anniversary Date (Month & Day:  year optional)                                           

Beneficiary of Club Benefits:                                                                       

Sponsored by:                                                                                           
Please check off the support you are willing to give:

 

___   Administration                    ___   Publicity                        ___   Membership

___   Decorations                        ___   Entertainment                ___   Cooking

___   Fund Raising                       ___   History/Archives             ___   Crafts

___   Hospitality/Phone               ___   Cashier                          ___   Clean-up

___   Serving/Clearing Tables       ___   Carpentry                       ___   Other

 

Applicant's Signature:___________________________________  Date:________________ 

 

 

 

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