MACK SKI CLUB 

MEMBERSHIP APPLICATION  

NAME                                          

ADDRESS                                       

CITY                     STATE                   

ZIP                                

EMAIL ADDRESS                                 

RENEWALS    $15 SINGLE MEMBER

           $20 FAMILY MEMBERSHIP (16 YEARS AND UNDER)

RENEWALS ACCEPTED THROUGH NOVEMBER 30, 2006

SENIOR MEMBER RENEWAL

$6.00 SINGLE MEMBERSHIP

$8.50 FAMILY MEMBERSHIP

NEW MEMBERS $18 SINGLE MEMBER            

           $28 FAMILY MEMBERSHIP (16 YEARS AND UNDER)

PRINT OUT FORM AND MAIL TO:

           ROBIN RODDICK

5058 VERA CRUZ ROAD

CENTER VALLEY PA 18034

610-791-4151

MEMBERSHIPS RUN FROM MAY 1ST TILL APRIL 30TH

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