Membership Form

Punta Gorda Isles Floridians

Floridians Membership Application

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

Annual Floridians' Dues: $25
Floridians Name Badges: $10 each
Print this page, complete the application and send it with your check for $25 annual dues plus $10 for each name badge to

PGI Floridians
Attention Ron Robinson
127 Hibiscus Drive
Punta Gorda FL 33950

For additional information, contact Ron Robinson through email at CRob80517@aol.com or by telephone at 941-505-7447

Your name:______________________________________________

Spouse name:_____________________________________

Mailing Address:_________________________________________

________________________________________

Phone number:____________________________________________

E-mail address:___________________________________________
( E-mail address to receive club information)

Are you a full-time Resident of Punta Gorda? _________________

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 & Games Committee
Communications Committee
Nominating Committee

Would 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.)

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