Form

New Member Registration Form 2023-2024

Thank you for your interest in becoming a New Member! Once you have submitted this form so we can learn more about you, you will be directed to a page where you can pay your New Member Dues in full today ($210) or choose to pay in three (3) installments ($70 today, $70 by November 30, 2023, and $70 by January 31, 2024). To pay by installments, please complete and submit this form. Your registration is not complete until at least one installment of dues is paid.

Please note: Payment of annual dues to the Junior League of Philadelphia are a donation to a non-profit organization and therefore cannot be refunded.

Contact Information

First name

Preferred name or nickname

Last name

Street address

City

State

Zip code

Physical Address, if different from mailing address

Preferred telephone number

Email address

Communication will be handled via the email address you provide. Check here if you prefer to be contacted by telephone.

Biographical Information

Date of Birth

Age

Maiden Name (if applicable):

Hometown/State

Current Employer, if applicable

Current Position

Placement Information

The following information is used to place you into a small group of women with similar interests and/or geographic location.

Area of Philadelphia in which you live

If you selected Other, please specify

Area of Philadelphia in which you work

If you selected Other, please specify

Would you rather be placed in a new member small group based on your home or work location? If you have another desired location, please select Other.

If you selected Other, please specify

If there are other women joining the Junior League with whom you would like to be placed in the same new member small group, please list them here

T-Shirt Size

JLP Background Information

Family Members in the Junior League

What area of the League most interests you? Please select all that apply.

Community of Women

Social Events

Volunteer Opportunities

Professional Development

Other

Outside Interests or Hobbies

How did you hear about the JLP?

Tell us why you would like to become a member of the JLP (200 words or less):

Please notify The Junior League of Philadelphia, Inc. of any changes in the above information.

Dues Payment

Dues Payment by Payment Plan - Please state yes or no if you intend to pay dues by payment plan.

Total Dues Payment of $210 - Please state yes or no if you intend to pay the total dues balance today.

Thank you for your interest in becoming a New Member and submitting this form so we can learn more about you! Next, you will be directed to a page where you can pay your New Member Dues in full today ($210) or choose to pay in three (3) installments ($70 today, $70 by November 30, 2023, and $70 by January 31, 2024). To pay by installments, please complete and submit this form. Your registration is not complete until at least one installment of dues is paid.

Please note: Payment of annual dues to the Junior League of Philadelphia are a donation to a non-profit organization and therefore cannot be refunded.

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