MEMBERSHIP APPLICATION Please print, and mail to: Membership Chairman Service Club of Glastonbury PO Box 443 Glastonbury CT 06033-0443 Thank You ! Name ___________________________________________________________________ Address______________________________City_________________________ST_____    Home Phone_________________________Work Phone__________________________    Employment_____________________________________________________________ Address_____________________________City___________________________ST___ What do you expect from your membership___________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ _______________________________________________________________________ Were you recommended by some one_______________________________________