Mailing Address Label Information (Please Print)

Name 
  How did you find out about Mack Ski Club?:  
Address
  Referred by:
City  

Meetup; Facebook; Website:

State                            Zip
Home Telephone 
  Employer
*****E-Mail Address (required for newsletter, eblasts / etc.)



Check Classes of Membership Which Apply:
q Individual   q New Member  q Senior Member   q Renewal Includes Address Change
q Family   q Renewal  q Mack Employee   q Mack Non-Employee   q Lottery 
Spouse
Children (18 years & under) Age





DUES: New Members:$20.00Single Membership
$30.00Family Membership (18 years and under)
$14.00Student Membership (18 years and under)
Senior (65+) New Members:$12.00Single Membership
$17.00Family Membership
Renewals:$17.00Single Membership
$22.00Family Membership (18 years and under)
$12.00Student Membership (18 years and under)
Senior (65+) Member Renewal:$ 8.00Single Membership
$10.50Family Membership


March Daily Number Lotto:$ 5.00Optional Fundraiser per Ticket (2 numbers)
Notice:Renewals accepted through November 30, 2016
(After that date, you will be required to pay new member rates and
will be dropped from the mailing list unless payment is received.)

Make checks payable to “MACK SKI CLUB”
Total Amount Paid:  
Mail to:Gail EichelbergerPhone: 610-845-0954
756 Delong Road, Alburtis, PA 18011

Please Note: Membership Cards can be picked up at any monthly meeting. Cards and Lottery Tickets will be mailed only if your application is received with a self-addressed stamped envelope. Dues will not be accepted with trip payments.