La Jolla Newcomers Club
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New Membership Application

To become a member of the La Jolla Newcomers Club, complete the Membership Application below. After submittal, click one of the New Membership Dues Payment buttons (on Thank You page which will open upon successful submittal.) and pay online using a secure PayPal payment method.

Member

    

Co-member:

    

Residential Address (street address required)

              

If the residential address is different from the mailing address, please enter the mailing address below.

              

Phone Numbers

         

Email Address (All club information is sent by email)

    

Former hometown (city, state)

How did you hear of La Jolla Newcomers Club?

ELIGIBILITY REQUIREMENTS

Please answer YES or NO for each of the following criteria:
  92037 residential zip code - moved into within the last three years.
   92037 residential zip code - resided in for more than three years, but the applicant has experienced a recent major life change. (Please explain briefly below.) Application must be approved by the LJNC Board of Directors.

Please briefly explain recent life change:


*Required




La Jolla Newcomers Club

La Jolla Newcomers Club
New Membership Application

To become a member of the La Jolla Newcomers Club, complete the Membership Application below. After submittal, click one of the New Membership Dues Payment buttons (on Thank You page which will open upon successful submittal.) and pay online using a secure PayPal payment method.

Member



Co-member:



Residential Address (street address required)







If the residential address is different from the mailing address, please enter the mailing address below.







Phone Numbers





Email Address (All club information is sent by email)



Former hometown (city, state)

How did you hear of La Jolla Newcomers Club?

ELIGIBILITY REQUIREMENTS

Please answer YES or NO for each of the following criteria:
  92037 residential zip code - moved into within the last three years.
   92037 residential zip code - resided in for more than three years, but the applicant has experienced a recent major life change. (Please explain briefly below.) Application must be approved by the LJNC Board of Directors.

Please briefly explain recent life change:


*Required