Date____________________
Check # ________________
Amount_________________
(Office use only)

 
Official 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 send to

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

Last Name _________________ First Name  ________________  Middle 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 ________
Names of Sons & Daughters __________________________________________________________
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 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.