Graybeard Membership Application

To be considered, this application must be submitted 30 days prior to the bi-annual general meeting. Spring meeting is tentatively scheduled for April, 6th 2009.

Date:

* Sponsor:

Name:

Address:

Phone #:

Cell Phone #:

Date of Birth:

Email Address:

Thank you for your application. We will contact your sponsor. The Graybeards meet twice a year and we will review your application at our next meeting.

The Graybeards are a
non-profit organization.

Present Volunteer Service:

Past Volunteer Service:

Are you willing to commit yourself to 10 hours of community service per year ?:

Yes No

I understand that dues are $150 per year:

Yes No