WYWL New Member Application

Membership Application

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
MM slash DD slash YYYY
Home Phone
Cell Phone*
Work Home
Email Address*
When did you move to Westport?
Where did you move from?
Do you have any children?
Please list names, birthdates, and schools attending.
Name Birthdate School Attending
Are you married?
Spouse's name (and nickname, if desired)
Employment
Current Occupation
Are you working full-time or part-time?
Employer
Previous Occupation
Education
Degree(s) in
Do you attend school now?
School & Field of Study
Volunteer Experience
What other volunteer experiences have you had?
Have you had an active role in any charitable events? Please specify.
Area of Interest
What league activities are you most interested in pursuing? (Check all that apply)
- Community Service - Cooking for the homeless, Volunteering at the Senior Center, Holiday gifts for the needy
- Ways & Means Process - Researching agencies to decide on League funding
- Charitable Events - CraftWestport, The Minute Man Race
- Social Activities - Developing friendships
- Other
Please specify
The League
Please list League members you already know
How did you find out about the League?
Are you joining with a friend now? List Name(s)
Membership Dues
Dues are required for membership. Will you pay your dues online now using PayPal?
If selected, you'll be redirected to PayPal after submission in order to make your payment.
Please select dues amount based on your application date. Note: PayPal prices below are slightly increased over paying by check or cash.*

To become a member of WYWL, please complete this application . If you join between August 1st & December 31st, the membership fee (dues) is $125. If you join between January 1st & April 1st the membership fee (dues) is $62.50. This fee is applied to the administrative costs of running our organization.

You can use PayPal to submit a payment along with your application or you may mail your check (payable to WYWL) to VP Membership, WYWL, P.O. Box 333, Westport, CT 06881.

Name*
First Last
Address*
Street Address Address Line 2 City State ZIP Code
Date of Birth*
MM slash DD slash YYYY
Home Phone
Cell Phone*
Work Home
Email Address*
When did you move to Westport?
Where did you move from?
Do you have any children?
Please list names, birthdates, and schools attending.
Name Birthdate School Attending
Are you married?
Spouse's name (and nickname, if desired)
Employment
Current Occupation
Are you working full-time or part-time?
Employer
Previous Occupation
Education
Degree(s) in
Do you attend school now?
School & Field of Study
Volunteer Experience
What other volunteer experiences have you had?
Have you had an active role in any charitable events? Please specify.
Area of Interest
What league activities are you most interested in pursuing? (Check all that apply)
- Community Service - Cooking for the homeless, Volunteering at the Senior Center, Holiday gifts for the needy
- Ways & Means Process - Researching agencies to decide on League funding
- Charitable Events - CraftWestport, The Minute Man Race
- Social Activities - Developing friendships
- Other
Please specify
The League
Please list League members you already know
How did you find out about the League?
Are you joining with a friend now? List Name(s)
Membership Dues
Dues are required for membership. Will you pay your dues online now using PayPal?
If selected, you'll be redirected to PayPal after submission in order to make your payment.
Please select dues amount based on your application date. Note: PayPal prices below are slightly increased over paying by check or cash.*

Name	Birthdate	School Attending

Name	Birthdate	School Attending

WYWL New Member Application

Membership Application

Employment

Education

Volunteer Experience

Area of Interest

The League