PGI NEWCOMERS APPLICATION


                                                                                        



Application for Membership

PGI Newcomers Club Dues per household ……..……….……………$25.00

* You must also be a member of the Punta Gorda Isles Civic Association in order to be a member of the Newcomers Club. I have joined the PGICA  yes no.

Please make your membership payment payable to: PGI Newcomers Club

And send to:

Sharon Long   or    Lynn Marcuse

PGI  Newcomers

Punta Gorda Isles Civic Association

2001  Shreve Street

Punta Gorda, Florida

 33950

Check if you would like to order name tags @ $11 each:    ONE   TWO              

*Please make a separate name tag check payable  to PGI Newcomers

Please fill in the following information. Thank you.

Last Name 

First Name  Nickname/Name for Name Tag 

First Name  Nickname/Name for Name Tag 

Address  City  Zip code 

Email  Phone 

Seasonal Resident  Year Round Resident  (Please check)

Where did you move from?  Today’s Date