


Broward County Council
Please note: You can print this form and mail your payment
Membership Application
Membership
in the Navy League of the
NEW
MEMBER’S NAME
_____________________________________________________________________________________
SPOUSE’S
NAME (if also
joining)_______________________________________________________________________________
ADDRESS__________________________________________________________________________________________________
CITY/STATE/ZIP____________________________________________________________________________________________
HOME
PHONE________________________________
CELL PHONE ____________________________________________
BIRTHDAY
(new member) ____________________
BIRTHDAY (spouse if also joining) ___________________________
EMAIL
ADDRESS___________________________________________________________________________________________
SPONSOR’S
NAME & MEMBER
#_____________________________________________________________________________
PLEASE
SELECT A MEMBERSHIP OPTION:
___ONE YEAR MEMBERSHIP
$100
(National dues of $50 + local dues of $50)
___TWO YEAR MEMBERSHIP
$140 (National
dues of $90 + local dues of $50)
___THREE YEAR MEMBERSHIP
$175
(National dues of $125 + local dues of $50)
___HUSBAND/WIFE MEMBERSHIP
$170
(National dues of $85 + local dues of $85)
___LIFE MEMBERSHIP
$550 (National
dues of $500 + local dues of $50)
___HUSBAND/WIFE LIFE MEMBERSHIP
$835
(National dues of $750 + local dues of $85)
___NATIONAL MEMBER(S) JOINING COUNCIL
$50 or $85(local single dues of $50 or
husband/wife local dues of $85)
___SPOUSE OF ACTIVE DUTY MEMBER
$30 or $80 (spouse + local dues of $50)
Checks
should be made payable to Broward County Council Navy League (BCNL) and mailed
to
WE LOOK FORWARD TO
SEEING YOU AT THE NEXT COUNCIL EVENT
Visit our website
- -
www.bcnavyleague.org
Broward
County Council Navy League of the United States, Inc. is a not-for-profit
Corporation registered with the State of