2012 Membership Dues Information:

2012’s dues are payable starting July 1, 2011.  Please print the form below.  Mail the form to the above-posted address or bring it to a club meeting.  Take note!  If your dues are not paid by December 31, 2011 you are no longer a member and may be placed on a waiting list.  The form can also be used to report a change of address.  Please address all membership correspondence to the attention of Steve Mulhollan.  Email: Steve Mulhollan

Name:__________________________________________________________________________________

Address:_________________________________________________________________________________

Phone:    _____________________ Email: _____________________________ Card No. _______________