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Application Form

New Cracow Friendship Society
          Membership Application                  

Print out and mail the completed application and appropriate membership fee to:

New Cracow Friendship Society
c/o Ms. Ida  Lewis
147-17 78 Rd.
Flushing, N.Y.  11367

Enclosed please find my membership application and dues for the calendar year 20 __ __.

Name: ______________________ _________________________    Maiden _______________________

Mobile Number:______________________

DOB:  ________________ Birth Place_________________ Occupation: __________________________

Address:________________________________________________________________________________

Spouse’s Name: _______________________ ____________________ Maiden _____________________

Mobile Number:   __________________

DOB:  __________________ Birth Place___________________ Occupation: _______________________

Home Number: ___________________________________________

Summer/Winter Address: _________________________________________________________________

Other phone number: ________________________________________   

Anniversary Date: ______________________________




Children’s Names: _____________________________________________________________
                            

Family Membership: $20.00   Single Membership:  $15.00    New Member fee*:  $50.00

Contribution:  ______ $36   ______ $54    ______$72   ______$180     ______$360  ______other

 $_____Membership  +   $ _____ contribution  +  $50 *(If applicable) =  Total $ ________


            *A one-time initiation fee of $50 is required for new membership enrollment.
As our membership fees have not changed since our inception in 1965, your additional contribution is a way to defray costs and enable continue philanthropic work.  We accept membership regardless of ability to pay dues.  For further assistance contact the membership committee by mail or by e-mailing.  Make check payable to NCFS. 

Your membership information will only be used by the NCFS.  Members in good standing can acquire cemetery plots if available.  More information will be provided upon request. 

Copyright © ncfs 1965-2017  The New Cracow Friendship Society, Inc.   All rights reserved.
updated May 22,  2017    SHS   ncfs.org@gmail.com     www.newcracowfriendshipsoc.org