SWANS, Inc Membership Application
Membership Type:  
Membership Level:
​Full Name: ____________________________________________________________________

Home Phone #:______________________________ Cell Phone #:_______________________
E-mail Address:________________________________________________________________
Occupation:______________________________________  Birth Month:__________________
Previous Affiliations with SWANS, Inc.  

Year of Participation: _______________    Other: (List)________________________________
I am interested in participating on the following Committee(s):

Address: ______________________________________________________________________

City: State: Zip Code: ____________________________________________________________
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I am interested in becoming a SWAN because:
What contributions will you make to SWANS Inc.? 
Application Deadline is Wednesday, April 12, 2023.

Save the Date:  SWANS, Inc. will host a mandatory Social on 
Saturday, April 15, 2023 at 3:00 PM for all who are interested in seeking membership in the organization.