New Member Application
Street number and name
City, State, Zip
cell phone number
Membership Directory Listing
Birth Date
Spouse First & Last Name
City, State and Country prior to relocation
number and ages of children
List of members activities of interest
Facebook Status
*****Agreement to the above stipulations is a requirement of membership in the Fort Wayne Newcomers organization. If you agree to abide by these stipulations please indicate so by entering your name in the space provided below. By so doing and submission of this form it is taken that entry of this name is equal to and a substitute for a handwritten signature.
Entry of your name in the above boxes is indicates acceptance of the Waiver, Indemnity and Hold Harmless Agreement in total as set down and stipulated and is accepted as equal to and a substitute for a handwritten signature whether entered by you or a person unknown to you.
Enter the date completed and submitted.

Email

membership@fwnewcomers.com

Address

P.O.Box 8181, Fort Wayne, IN 46898-8181

Get in Touch

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