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North Atlanta MWC Membership Directory
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Name
*
Your answer
Angel-versary Date
What is the date that you became widowed?
MM
/
DD
/
YYYY
Birthday
What is your birthday?
MM
/
DD
Email Address
*
Your answer
Mailing Address
Please include your Zip Code.
Your answer
Have you attended a N. Atlanta MWC Social Hour or Event?
*
Yes
Not Yet, but I am planning to attend.
No. I am not planning to attend but I would like to be included in future emails/mailings.
No. Please remove me from future emails/mailings.
Have you become a national member of Modern Widows Club?
*
Have you paid the $25 annual membership fee to MWC?
Yes
No
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