G.T.E.V. D'Lustigen Isartaler - Pittsburgh

Membership Application

Please print up and mail this application and fee(s) to the club mailing address at 4098 Valleyvue Drive, Gibsonia, PA  15044
 

G.T.E.V. D’Lustigen Isartaler Membership Application

[Please print all information]

 

Today’s Date__________________________________________________________________________________________


Name________________________________________________________________________________________________


Address______________________________________________________________________________________________

Home & Work Phone___________________________________________________________________________________


E-mail address________________________________________________________________________________________

Religious affiliation: (circle)  Roman Catholic or Lutheran or other:____________________________________________


Birthday_________________________________________ 
Anniversary date_____________________________________


Occupation____________________________________________________________________________________________


Special Skills or interests________________________________________________________________________________

____________________________________________________________________________________________________

What is your Germanic blood-line, if known? (for example:  Do you know what part of Germany, Austria,
Switzerland do/did your ancestors come from?)____________________________________________________________


Do you speak, read, write in German (or the Bavarian dialect)?_______________________________________________


Did you ever study the German language, at some point in your lifetime?_______________________________________


Do you have any relatives who are already a club member?___________________________________________________


If yes, please list their name(s)__________________________________________________________________________


Why do you wish to become a member of this club?_________________________________________________________


____________________________________________________________________________________________________


Do you have Children?  If so, please list their names, ages (DOB):______________________________________________


____________________________________________________________________________________________________


Your signature________________________________________________________________________________________

Sponsoring Verein (Club) Member________________________________________________________________________

Sponsoring Verein (Club) Board Member___________________________________________________________________


-------------------------------------------------------------------------------------------------------------------

Initiation/Application Fee is $20                      Yearly Dues $20 ($17 Sr. Citizen)

The Initiation fee must accompany this application.  The Applicant should attend the next General Membership meeting to have their application accepted by the club membership.    Then the Applicant’s membership status will be voted on at the following General Membership Meeting.  Dues must be paid on day of club membership acceptance.  
Please make checks payable to:   G.T.E.V. D’Lustigen Isartaler, Inc.

 


Name of officer/board member this application was received by:________________________________    

 

Please print up and mail this application and fee(s) to the club mailing address at 4098 Valleyvue Drive, Gibsonia, PA  15044


Web Hosting Companies