|
White Mountain Ridge Runners
(Click here for a list of FAQ
regarding the new registration rules.)
2011-12 Membership Form
___ Individual
Membership - $25.00 or ___
Family Membership - $30.00
Name:______________________________________________________
Spouse:_____________________________________________________
Address:____________________________________________________
City: _________________________ State ______
Zip Code ____________
Home phone # ( )_____________
Work phone # (
)_____________
Fax # (
)___________ E-mail Address __________________________
Do you wish to receive our club newsletter via
e-mail? ____ Yes ____
NO
Are you a member of NHSA? ____ Yes
____ No
If you answered NO
we will automatically enroll you in NHSA.
($10 of your membership dues entitles you to membership in NHSA and a
one-year subscription to Sno-Traveler Magazine.)
If you answered YES, please enter your current NHSA membership
# _________
Membership
Fee
$_______
($25.00 or $30.00)
Donation to WMRR grooming fund $_______
Grand Total $_______
Send application and your generous payment to:
White Mountain Ridge Runners
P.O. Box 425
Berlin, NH 03570
(Checks may be made out to: WHITE MOUNTAIN RIDGE RUNNERS)
Comments:
|