U.P. SNOPHLYERS

2425 LUDINGTON STREET

ESCANABA, MI 49829

 

 

MEMBERSHIP APPLICATION

 

Please Print Clearly:

 

Name: ______________________________________________________________

 

Address: ____________________________________________________________

 

State & Zip: _______________________________________

 

Phone: ___________________________________________

 

E-mail Address:_______________________________________ 

Can we include your email address in the club roster on our website?  YES____  NO ____

Single Membership  _______           Single Membership with Hat  _______                                                                          

$10.00                                             $15.00

                                              Membership Year: _____________

Family Membership  _______            Family Membership with Hat  _______

$15.00                                             $20.00

 

Business Membership  _______                                 

$35.00

 

 

                      Would you like to be on the groomer operator list?  YES _____    NO _____

 

 

 

 

 

Signature: ____________________________________________ Date: ___________________/font>/p>

 

 

Send this form with check or money order to the address at the top of the page.