GERMAN AMERICAN ASSOCIATION

OF LORAIN COUNTY, INC.

(Formally LORAIN LIEDERTAFEL)

MEMBERSHIP APPLICATION

Name:________________________________________ Date:_______________   

Address:__________________________________________________________

City:________________________ State & Zip code:______________________

Telephone:________________________________________________________

E-mail address_____________________________________________________

Occupation:_______________________________________________________

Hobbies/Interest:___________________________________________________

__________________________________________________________________

Please check any of the following committees that you would be interested in working on for the club:

SOCIAL EVENTS_______________

ADVERTISING/MARKETING___________________ FUNDRAISING___________________

MEMBERSHIP_______________

OTHER_______________________

RECCOMENDED BY REGULAR VOTING MEMBER:                                     

___________________________________________________________  

                             (SIGNATURE OF MEMBER)               

___________________________________________________________  

                             (SIGNATURE OF APPLICANT)

NOTE:                                                                   

$5.00 MEMBERSHIP FEE PAYABLE WITH APPLICATION           44054

SEND TO:

WERNER WITTMAN

4675 EDGEWATER DR.

SHEFFIELD LAKE, OHIO 44054