New Ulm Medical Center Auxiliary

“Where serving is a tradition”

Membership Information and Renewal Form

We value your membership in our organization of volunteers. We band together with the common goal of serving the community and New Ulm Medical Center. Membership is open to all men and women. We meet as a group every Winter, Spring, and Fall. Funds we raise benefit the hospital’s patients and the quality of health care they receive.

Membership Year: January 1, 2008 to December 31, 2008

Name_____________________________ Spouse ____________________________

Street Address _________________ City ____________ State _____ Zip _______

Day Phone ________________________ Evening Phone __________________________

Email ________________________________________________________________

Best time to call me: ________ a.m. ________ p.m.

____ Enclosed are my $5.00 annual dues.

____Also enclosed is a special contribution I wish to make to the Auxiliary.

Here’s what I think should be top Auxiliary priorities this year:

1. ______________________________________

2. ______________________________________

3. ______________________________________

Here’s how I can help this year:

1. I’ll be a volunteer: ____Mornings 8:00 AM–Noon/12:30 ____Afternoons 12:30-4:30 p.m.

2. I’ll be on call for when you need help: ____ Mornings ____Afternoons

3. I’m willing to serve on one of the following volunteer (or committee) positions:

____Coffee Shop scheduling ____Coffee Shop ____ Gift Shop ____ Magazines

____Legislative ____ Clinic Host/Hostess ____Fundraising ____ Poster Project Hanging

____Memorial Fund ____Emergency Dept. ____ Public Relations

____Social ____ Information Desk ____Membership ____ Physical Medicine

____Programs & Projects ____Escort /Float / Transport ____ Mammogram

____Auxiliary Board ____ Same Day Surgery Host ____Medical / Surgical Floor

4. I will volunteer my talents and time for the following special projects this year:

____Bake Sale ____Holiday Happiness Sale

____Fluff ‘N Puff Pillow Cleaning ____ I can’t work, but wish to donate cash to specific events

Bring to the Coffee Shop/Hospital Front Desk or mail to: