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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:   renewal:  $12.50 per person       New Member: $22.50 per person includes badge

Fill in and print the application below.  Send it with your check for dues to:

PGI Floridians
Attention: Rolf Simonson
1349 Aqui Esta Dr.  #123
Punta Gorda, FL  33950 

For additional information, contact Rolf Simonson at rsimonso@hotmail.com or 920-946-4067.

 

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.):