Membership Application




(Please Type or Print Clearly)
STEP 1: Download the application
You will need the free Adobe Acrobat Reader to view and fill out the application.

STEP 2: Mail the application
Please make your check payable to: "Polish University Club of Los Angeles"
Mail the application to:

Polish University Club of Los Angeles, Inc.
c/o Anna Prejna, Membership Chair
1845 E. Merced Ave.
West Covina, CA 91791

Phone: (626) 919-2006.