FALCON WANDERERS VOLKSSPORT ASSOCIATION
MEMBERSHIP APPLICATION

 
LAST NAME(S)   FIRST NAME(S)   AGE
70+		  
         
         
         
         
         
 ADDRESS:  PHONE  
 CITY & STATE  ZIP  
 E-MAIL (optional) Enroll me in the
Falconwanderer
E-mail List		 Yes   No
MEMBERSHIP DUES

FIRST YEAR:          $10 per Person          $16 per Couple          $20 per Family

RENEWAL:          $8 per Year         Persons age 70 or older receive an $8 discount

First year dues include the Club Patch.  Renewals are due in the month you join.  Club patch and membership card will be mailed to you.

Mail application and fee to FALCON WANDERERS, PO BOX 17162, COLORADO SPRINGS, CO 80935-7162

General Membership Meetins are held on the second Monday of each month. The location is published in the Club Newsletter.  For further informationk call Karen Seay, 719-632-9320

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(OFFICE USE ONLY) Discount:  Circle those which apply 70+ Officer POC 6-Event Worker Other

Document2 7/1/2007