Application 2026-2027

Application 2026-2027

P.O. Box 62191 Fort Myers, FL 33906 www.fmwcc.net
Title
Name

First NameMiddle or Maiden NameLast Name
Occupation (retired, student, etc.)
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Second Phone Number if applicable (land line/out of area line)
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Type of Membership
Spouse occupation
Spouse name

First NameLast Name
Children under age 25 residing in Lee County. NAME, M/F, Birthdate & Grade in school. (Please list each child on a separate line.)
Grandchildren under age 25 residing in Lee County. NAME, M/F, Birthdate & Grade in school. (Please list each child on a separate line.)
Please check (multiple) for the committees on which you would like to serve. Leadership
Meetings: This includes properties, tea coordinator, food, flowers and the like
Membership: This includes Membership, Outreach, Public Relations, Photography, Historian and the like.
Coronation: Please check this for all things related to the Coronation Ball. Decorating, food, and more.
Holiday House and Stroll: Please check this for anything related to the holiday house and stroll event including decorating, clean up, food, public relations, holiday party and the like.
As needed (volunteers will contact you from all areas)
Other (you can write in a special skill)
Choose 1: Membership is May1, 2026-April 30, 2027. You must be paid by midnight on September 10, 2026 in order to vote for the 2027 King and Queen of Edisonia.
prevnext( X )
Membership
includes credit card processing fee

$62.68 Quantity

Membership writing check for $60 and mailing to P.O.Box 62191 Fort Myers, FL 33906

Free Quantity

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

Contact Info

Payment Info
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Application 2026-2027

Choose 1: Membership is May1, 2026-April 30, 2027. You must be paid by midnight on September 10, 2026 in order to vote for the 2027 King and Queen of Edisonia.*

Payment Methods

Choose 1: Membership is May1, 2026-April 30, 2027. You must be paid by midnight on September 10, 2026 in order to vote for the 2027 King and Queen of Edisonia.