(OFFICE USE ONLY:)

Date Rec'd in Office______________
Check # ________________
Amount_________________
 


 L.I.N.D.A. MEMBERSHIP APPLICATION
(Please Print & fill out,  Make check or M.O.  for $20.00 (U.S.D.) to L.I.N.D.A. and mail to

 L.I.N.D.A.      P O Box 7       Lyndon, IL   61261


First Name _________________ Middle Name  ________________  Last Name_________________________
(Note:  FIRST NAME must be Linda or Lynda or Lynnda or some alternative that sounds like Linda and only Linda. ) 
 

Address ______________________ City __________________ St _____________ Zip_________
 

Phone (______) ____________________ E-mail Address_______________________
Do you want your phone # printed on Membership Listing?______  E-mail on Listing? ________
 

Date of Birth ________________ Day of week born ______________ Time _______________
 

City/State where you were born ________________________ Maiden Name ___________________
 

Mother's First Name ____________________ Father's First Name ___________________________
 

Why You Were Named Linda _________________________________________________________
 

Color of your eyes ____________ Height _____________ Current hair color ____________
 

First Names of Brothers ___________________________Sisters _____________________________
 

If you are married, Husband's first name __________________ No. of Children _____ Gr. Child._______

Names of Sons & Daughters __________________________________________________________
 

Names of Grandchildren ______________________________________________________________

If you have pets, what are they and their names ________________________________________
 

Favorite color _____________ Favorite Bird _________________ Favorite Sport ________________
 

What you collect, if anything _____________________________________________
 

Your personality description ______________________________________________________
 

Occupational Interests ____________________ Current Occupation _______________________
 

If you have personalized license plates, what do they say? _________________________________
 

Something interesting about you ____________________________________________________
 

Favorite kind of music _____________________ What do you like to read? __________________
 

Favorite inspirational line(s) ___________________________________________________________
 

How did you hear about the L.I.N.D.A. Club? _____________________________________________
 

Have you ever been a member of L.I.N.D.A. before? _______ Attended any conventions?  _________
 

If yes, Which years _____________________________________________________________
 

Any ideas or suggestions for L.I.N.D.A ______________________________________________
 

Your personal Signature, please ________________________________________
 

Please Note:  NONE of the complete information asked for in this application will be shared with anyone outside of the LINDA Office. On occasion parts of the application will be used to "create" an "Average Linda" of the membership for the  year. We may use such things as most common eye color, height, parents names, kids, favorites, pets, etc. to come up with this Linda.