New Membership Application
DO NOT USE FOR RENEWAL, UNLESS ORIGINAL INFORMATION HAS CHANGED - FOR RENEWAL CLICK HERE
 Type information and print OR print, then write in information.

Name (member one):

Name (member two):

Address:     Apt:

City:

State:       ZIP:

Phone (Day):     (Evening):     Fax:

E-mail:

Alternate E-mail:

Membership: $45.00 per year/per household
I would like to receive notification of upcoming events via e-mail only. Yes No
I would like to volunteer to help with committee work. Yes No
Areas of interest or comments:

NOW PRINT THIS FORM AND MAIL, WITH CHECK PAYABLE to ChicaGourmets! TO:


Premier Bank
1210 Central Avenue
Wilmette, IL 60091

OR
You may Fax (708-383-4964) Application and pay by CLICK HERE
Please make note in Comments if paid by Credit Card (do NOT use this form for Renewals unless information has changed)