Mail To & Make Checks Payable to:

James Garbaczewski

6646 W Wyandot Dr
Palos Heights , IL 60463-1754

 Please put WCHWC Dues in Memo Section

Memberships go from June to May of the Following Year

Price of membership is $25.00 for attending members and $30.00 for out of state members. ($5.00 Extra is for shipping your Club  Car)

Name: ______________________________________

Address: ____________________________________

                ____________________________________

City: _______________________    State: _________    Zipcode+4: ______________

E-Mail Address:    ______________________________________________

Would you like to be on the Text Message List (Only used for Emergencys)

Cell Phone # ________________________________________

Check One:

        ( ) I will be attending Meetings and will be able to pick up Club Car ($25.00) Membership

        ( ) I may not be able to attend Meetings and would like my Club Car Mailed ($30.00) Membership

Would you like your information shared with other members:

        ( ) Yes

        ( ) No