Membership Application
Open: Monday September 27, 2010 Close: Sunday May 29, 2011
(35 Weeks)

NAME: ___________________________________________________________________SPOUSE: ________________________________________________________

ADDRESS: ________________________________________________________________________________________________________________________________

CITY: ______________________________________________________________ STATE: _____________ ZIP:_____________________________________________

PHONES: AM_______________________________________ PM:______________________________________CELL _________________________________________

EMAIL ___________________________________________________________________________________________________________________________________

__ MEMBERSHIP FEES
__ INDIVIDUAL $150
__ COUPLE $200
__ JUNIOR/STUDENT (<21) $40
__ FAMILY $240
__ SENIOR (>65) $125
__ SENIOR COUPLE $165

__ CASH OR __ CHECK. NO CREDIT CARDS

Return to home page.