Name(Print)
Address
Telephone Work #
E-mail
Place of birth
Date of birth (mo. and day only)
Occupation
Have you ever been a Camola member before? Yes No
If Yes, please list dates
Reason for leaving
How did you hear about Camola? From a member Walk in From an affiliate From a friend Advertisement From the web Other
The purpose of the CAMOLA Corporation is to engage in the following activities;
To provide financial and charitable support to Cameroonians of the Greater Lowell area that may be in need. To provide a place and means for the recreation and education of the Cameroonian community. To educate the Cameroonian community and the general community as to the ethnic heritage, background and culture of the Cameroonian community.
To conduct such other activities and programs in furtherance of the foregoing purposes as may be carried out by a corporation organized under Mass. General Laws Chapter 180 and described in section 501 (c) (3) of the Internal Revenue Code.
Are you willing to be an active, committed member? Yes No
Do you have a sponsor? If so please name If you do not have a sponsor, the social secretary may be named
Applicant signature Date
Sponsor's signature Date
Note: A membership fee of $25 is to be paid at the time of admission.
