Membership ApplicationThere 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. |