Please return with check at November 19 meeting.

2008 MEMBERSHIP RENEWAL

PLEASE PRINT

NAME_______________________________________________

ADDRESS Street________________________________________________
Town_____________________ZipCode____________________

TELEPHONE NUMBER _______________________________

E-MAIL ADDRESS_____________________________________

SINGLE MEMBERSHIP Single $15.00 - Fam. $20.00

Amount paid ______Check Number_______Cash_______

WILL YOU ACCEPT ELECTRONIC DELIVERY (e-mail) OF THE NEWSLETTER MONTHLY?_________

ARE THERE SPECIAL INTERESTS, TOPICS OR SPEAKERS YOU WOULD LIKE TO HEAR IN 2008?

________________________________________________
________________________________________________

ARE THERE ANY CHANGES YOU WOULD LIKE TO SEE THE CLUB IMPLEMENT?_____________________________

______________________________________________________