MEMBERSHIP APPLICATION

Date
Full Name			Signature
Date of Birth
Residence Address			City of Municipality
Postal Code	E-mail		Residence Phone
Name of Business			In which capacity are you involved with the business
Business Address			City of Municipality
Web URL			Note if you like to have your company website link to our site Please ask the Secretary for more information.
Postal Code	E-mail			Business Phone
Ethnic Background
If the applicant is not a Scandinavian by birth or descendant of Scandinavians, please indicate any particular Scandinavian interests, which motivate to the seeking of membership in the Scandinavian Businessmen’s Club


Other Organization / Associations / Clubs, with which the applicant is affiliated:

Hobbies and Interests

Proposed by			Seconded by
(For Club Administration Only)
Executive Board Approval Date			Membership Approval Date
Date initial membership fee received		Secretary initials			Treasure’s initials
Executive approval membership application record			Membership number (Computer code)
This application has been investigated by the Executive Board and is hereby approved:
President