Membership Application

To join the Scranton Ski Club fill out the following  form and mail it with your membership dues to the address listed below.  You can stop in at one of our meetings to join or just for a visit. Non members welcome. The only requirement for membership is You must be 21 years of age or older.

There are two types of membership, Single or Family. Single Membership is $20.00 .  Family membership (two people living at the same address) is $30.00.

Annual renewal  of membership is Single $15.00, Family $25

 First Name _________________ Last Name _____________________  Date __________

Address ______________________________________________________

City __________________________  State ______ Zip ________________

Home Phone ______________  Work Phone ________________

Email __________________

Do you want your phone number excluded from the membership List?  Yes____   No ___

 

New Membership:

Single ($20.00) ________                  Family* ($30.00) _________

Second family member name _____________________________

 

Renewal:

Single ($15.00) ________                  Family* ($25.00) _________

Second family member name _____________________________

 

* Two people living at the same address

Print this form and mail to:

The Scranton Ski Club Inc.
P.O. Box 3301
Scranton PA 18505

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