Form-Membership
Date 2010-9-20
Date 2010-9-20
Huntsville Ski Club, Inc
Membership Application (One application per person)
Membership Application (One application per person)
___New Member ___Renewal (Current Member) ___Renewal (Previous Member) ___Information Update
MEMBER INFORMATION
Applicant / Renewing HSC Member Information (Required**)
FIRST NAME** _________________________
MI _________________________
LAST NAME** ______________________
MEMBER ADDRESS
STREET / P.O. BOX / APT NO.** ___________________________________________________
CITY** _________________________
STATE** _________________________
ZIP CODE** _________________________
CONTACT INFORMATION
PRIMARY PHONE (w/ Area Code)** ___________________________________________________
PRIMARY E-MAIL ADDRESS** ____________ ___________
SECOND PHONE (w/ Area Code) _________________________
SECOND E-MAIL ADDRESS ______________________________
MEMBERSHIP TYPE
(View Cost to Join under How to Join for current pricing information)
(View Cost to Join under How to Join for current pricing information)
___INDIVIDUAL
___INDIVIDUAL(>50 miles)
___FAMILY†(Multi-Adult)
___FAMILY†(Multi-Adult) (>50 miles)
___FULL TIME STUDENT
___YOUND ADULT (21 yrs or under)
___HONORARY
___LIFE TIME
If Family membership†, how many: Adults: ________ Minors: _________
†Family membership: One or two adults in the same household, and any of their dependent children under 18 years of age, or full-time dependent students under 21. Use additional membership application for each family member.
*Half price for members residing over 50 miles from Huntsville or age 21 and under.
NEWSLETTER
Membership includes our newsletter, The FlakeyNews, downloadable or viewable in color at www.huntsvilleskiclub.org
Members may choose to receive the newsletter via the US Postal Service:
I want a black & white copy of the club newsletter mailed to me at the address provided in my HSC members account.
I enclosed an additional:
(View Cost to Join under How to Join for current pricing information) ...$15.00/year.
(View Cost to Join under How to Join for current pricing information) ...$15.00/year.
TOTAL ENCLOSED: $ ____________________
AFFIRMATION
I wish to apply for membership in the Huntsville Ski Club, Inc, a not for profit social club, and I accept its Constitiution and Policies as publiched and approved, to include the Privacy Policy.
Signature _________________________
Date ____________________________
Date ____________________________
PRINT AND MAIL TO:
Membership Director
Huntsville Ski Club
PO Box 1601
Huntsville, AL 35807
Membership Director
Huntsville Ski Club
PO Box 1601
Huntsville, AL 35807
WORK INFORMATION (Optional)
OCCUPATION _______________________
COMPANY __________________________
PHONE _________________________
WORK E-MAIL ADDRESS ___________________________________________________