House of Panama Est. 1989
"Un pedacito de mi, aqui!"
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Membership Application
All information provided is for the the exclusive use of the House of Panama only.
Membership and Membership Renewal cost: $25.00
Good for one (1) Calendar year (Jan-Dec) and all membership benenfits per person.
A member is one who is eligible to vote, hold office and make motions. Members must be current with their dues in order to exercise voting rights.
*Name
*Address
*City
*state
*ZIP
Date of Birth (mm/dd)
*Home Telephone
*Alternate Phone
*E-mail address
*Status
New Member
Renewal
*Since we are a volunteer group, it is expected of all local member to volunteer at every event. Please make a selection in the areas we can count on you:
Fundraising Committees
Food Sale
Food Preparation
Set-up/Take downs
Administrative
Anywhere you need me
Unable to assist/Silent Supporter
Do you have any special talents? Please share these with us:
I can sing
I can dance
I can resite poem
I can act
I am a public speaker
I am a teacher
I can draw/paint
Other :
Remember, your application will not be valid until you pay for your membership. Please go the Donation page to complete your transaction. Please review your application then click on the Submit button.