Form

Reinstatement Request Form

Thank you for your interest in reinstating your membership with The Junior League of Charlotte! Your request is important to us. Please be sure to provide at least one phone number. We will contact you shortly with more information.

First Name:

Last Name:

Is this the same name you used when you were a member?

If not, please tell us the name you went by when you were a member:

Date of Birth (mm/dd/yyyy):

Street Address:

City, State, Zip Code:

Email Address:

Home Phone:

Cell Phone:

Work Phone:

Please tell us about your interest in returning to The Junior League of Charlotte:

What will make your experience different?

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