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Membership Application

Membership Application

Mission Statement:
    The mission of Bella Italia is to explore, preserve, and promote Italian culture, language, history, and traditions and to initiate and participate in social interactions through meetings, seminars, excursions, and various events.

The membership year runs a full year and expires on the last day of your enrollment month of the following year.  Payment is due with the application. The full-year dues are $25 single and $50 per couple.                                            
*A $10 returned check fee will be charged.

Member Benefits:   Members receive invitations to our events prior to non-members.  Some events/activities are only available to members.  Members pay less than non-members  to attend our events. Only members of Bella Italia receive a Member Discount Card (at no cost to the member) that entitles them to a 10% discount at several area restaurants and stores.

All applicants submitting this membership application agree to be bound by the Bylaws of Bella Italia, The Italian American Association of the Golden Isles.

Last Name:
First Name:
Spouse First Name:
Street Address:
City:
State:
Zip Code: (5 digits)
Home Phone:
Cell Phone:
Email:
Spouse Email:
Home State:
Spouse Home State:
Italian Heritage?:
  Yes
  No
Region of Italy:
Spouse Italian Heritage?:
  Yes
  No
Spouse Region of Italy:
Profession:
Spouse Profession:
Birth Month:
Spouse Birth Month:
How can you help Bella Italia?:
  Membership Committee
  Publicity Committee
  Social/Cultural Activities Committee
  President
  Vice President
  Treasurer
  Secretary
  Webmaster
How did you hear about Bella Italia?:
Comments:

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