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PGI Floridians Membership Application

All Floridians members must also be members of the Punta Gorda Isles Civic Association.

Annual Floridians' Dues:  Family:  $25   Single:  $15
Floridians' Name Badges:   $10 each


Fill in and print the application below.  Send it with your check for annual dues plus $10 for each name badge to:

PGI Floridians
Attention: Mary Mazur
1517 Suzi Street
Punta Gorda FL  33950 

For additional information, contact Mary Mazur at memazur@comcast.net or 802-373-1074.

 
Your Name:

Spouses' Name:

Mailing Address:

Phone Number:

Email Address:           (to receive club information)

Are you a full-time resident of Punta Gorda?

Yes   No
When did you move to Punta Gorda?

Other PGICA club memberships:

Offices held, if any:

 
All members are expected to participate in club events and help organize club activities. On which of the following committees would you or your spouse be willing to serve? 

Please check all that apply:

  Eat, Drink and be Merry 

  Membership Committee

  Fun 'n Sun Committee

 

  Sports and Games Committee

  Communications Committee

  Nominating Committee
 

Would you be interested in serving on the Board of Directors?

 

Yes  No
The Floridians are always in need of people with specialized skills. Please identify those that apply to you or your spouse: (i.e. Computer, Software, Financial, Newsletter Writing, etc.):