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  • 2015 WRPHC Membership

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    This document outlines a membership application for an organization, listing various membership types and their associated costs, including a $20 youth membership, $30 individual membership, and $40 family membership, with a $5 late fee after May 1st. It requests the applicant's contact information, names of family members if applicable, address, phone numbers, email, payment method, and whether it is for a new or renewal membership. Memberships are valid from January 1st to December 31st.

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    This document outlines a membership application for an organization, listing various membership types and their associated costs, including a $20 youth membership, $30 individual membership, and $40 family membership, with a $5 late fee after May 1st. It requests the applicant's contact information, names of family members if applicable, address, phone numbers, email, payment method, and whether it is for a new or renewal membership. Memberships are valid from January 1st to December 31st.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    92 views1 page

    2015 WRPHC Membership

    Uploaded by

    api-253128013
    This document outlines a membership application for an organization, listing various membership types and their associated costs, including a $20 youth membership, $30 individual membership, and $40 family membership, with a $5 late fee after May 1st. It requests the applicant's contact information, names of family members if applicable, address, phone numbers, email, payment method, and whether it is for a new or renewal membership. Memberships are valid from January 1st to December 31st.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
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    2015 Membership

    Application
    Youth Membership..................... $20.00
    Individual Membership............... $30.00
    Family Membership.................... $40.00
    Late fee after May 1st

    $5.00

    Membership: January 1st to December 31st


    Name:_________________________________________________________________
    Family Members (for family or joint membership)
    *to be considered a family membership you must reside in the same household*
    _________________________________

    __________________________________

    _________________________________

    __________________________________

    _________________________________

    __________________________________

    Address: ______________________________________________________________
    City:_____________________________________State: _________ Zip: ________
    Phone: (____)_______________________Alt. Phone (___) _________________
    E-Mail:_________________________________________________________________
    Payment Method: _____Check

    _____Cash

    New Member
    Renewal
    Please make checks payable to WRPHC

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