Miller-Jones Golden Quail Couples Membership Application

Membership in the Golden Quail Couples is absolutely Free! The only requirement is that you must
have been married at least 50 years on your last anniversary
Membership in the Golden Quail Couples entitles you both to the following Free Benefits:

GOLDEN QUAIL PIN  •  FREE SUMMER BARBEQUE PICNIC  •  FREE VALENTINE RECEPTION  • FELLOWSHIP

Last Name:

First Names: &

Mailing Address:

City: Zip:

Phone:

Wedding Date:

Place of Wedding: State:

Country:

.