LEAWOOD WELCOMERS
2018-2019 DUES NOTICE AND MEMBER INTEREST SURVEY

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Last Name...... First .......... B-Day (Month/Day) ... Husband/Sig Other
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Home Address............................. City .... .... State ......... Zip Code
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Home Phone........................ Cell Phone................ E-Mail Address
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Subdivision------ How did you hear about Leawood Welcomers? Checking an interest does not commit you to an activity - it only indicates that you would like to be contacted about the activity.
INTEREST GROUPS CHAIRMAN PHONE #___
_____ Book Review Carla Liberda 913-897-1872
_____ Bridge: Duplicate and Party -- Marlene Case 913-491-1650
_____ Canasta -- Sheryl Mathews 913-851-4356
_____ Chat & Crafts -- Ann Brendle 913-327-5852
_____ Evening Dine Out (Couples) -- Coe Kindig 913-491-4672
_____ Hand/Foot Card Game - Couples -- Joyce Murphy 913-897-3844
_____ Hand/Foot Card Game - Ladies -- Margo Barrick 913-338-2504
_____ Lunch Bunch A(Rotate in Homes) -- Joan Biermann 913-239-9678
_____ Lunch Bunch B(Rotate in Homes) -- Debbie Scrivner 816-392.0255
_____ Lunch Out -- Carol Besselievre 913-608-5166
_____ Mahjongg -- Kathy Wininger 913-661-9331
_____ Movies -- Anita Darrah 913-219-5651
_____ Rummikub -- Pat Jeffcott 913-226-5951
_____ Single Girls Night Out -- Pat Jeffcott 913-226-5951
_____ Travel – Far -- Debbie Scrivner 816-392-0255
_____ Travel – Near -- Joan Varriano 913-685-7422
_____ Tuesday Talk & Taste -- Heather Ryan 913-485-6118

PLEASE SELECT ONE:
_____ I WOULD LIKE TO RECEIVE MY NEWSLETTER VIA E-MAIL. (E-MAIL ADDRESS IS PROVIDED ABOVE.)
_____
I WOULD LIKE TO RECEIVE MY NEWSLETTER BY REGULAR MAIL.

_____ Are you interested in being a Chairperson or serving on the Board?
_____ Are you willing to be on a telephone committee?
_____ Do you have an interest in hosting a hospitality coffee?
_____ Do you belong to a Country Club? Please name. ________________________________________________
_____ Do you have a special interest or professional area i.e. computer skills to share with club members?
Please describe: __________________________________________________________________________
Membership shall be limited to any woman residing within the boundaries of the City of Leawood or within the boundaries of those zip codes which are assigned to the city of Leawood, including the zip codes 66206, 66207, 66208, 66209, 66211, 66223 and 66224.
Please return this survey along with your Annual Membership Fee of $25. Make check payable to Leawood Welcomers.
Mail to: Debbie Scrivner, Membership, 13326 Washington Crt, Kansas City, MO 64145. Should you have any questions, please call Debbie at 816-392-0255.