2025 Membership Application (Toscani / Social) Family Membership – $40 Per Year (husband, wife and children under 21) Single Membership – $30 Per Year (anyone 21 years of age and over) Senior Membership – $25 Per Year (70 years & older) Please complete the following form & submit Membership Option(Required) Family Membership $40.00 Single Membership $30.00 Senior Membership $25.00 Name/Names(Required)Address(Required) Street Address City StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone(Required)Email(Required) Italian Heritage (Region)(Required)How many children? (20 & younger)Please enter a number from 1 to 6.First ChildChild's Name(Required)Gender(Required)Age(Required)Date of Birth(Required) MM slash DD slash YYYY Second ChildChild's Name(Required)Gender(Required)Age(Required)Date of Birth(Required) MM slash DD slash YYYY Third ChildChild's Name(Required)Gender(Required)Age(Required)Date of Birth(Required) MM slash DD slash YYYY Fourth ChildChild's Name(Required)Gender(Required)Age(Required)Date of Birth(Required) MM slash DD slash YYYY Fifth ChildChild's Name(Required)Gender(Required)Age(Required)Date of Birth(Required) MM slash DD slash YYYY Sixth ChildChild's Name(Required)Gender(Required)Age(Required)Date of Birth(Required) MM slash DD slash YYYY Total Want to pay by check? Download Form
