MEMBERSHIP RENEWAL INVOICE 2006 / 2007

Please complete all information, including your area code, e-mail and committees/activities you would be interested in participating in.  Be sure to SIGN THE WAIVER below, including Life Members.  Also, one parent must sign for children, if applicable.  Make all checks payable to WESTMORELAND SKI CLUB.  Send dues and form to:  Debbie Klinvex, 14291 Ridge Road, N. Huntingdon, PA  15642 or bring them, with this form to the next meeting.

Name(s):____________________________________________________________________

Children’s names and ages (if applicable)____________________________________________

___________________________________________________________________________

Address:____________________________________________________________________

City, State, Zip______________________________________________________________

Phone:  Home:________________Work:___________________Cell:____________________

Skizette by Email? Yes____No_____Email Address:_______________________________________

Note:  A new family membership is being offered.  If children under the age of 21 are joining, one parent must sign the waiver line indicated for the children. Please list all children’s names and ages on the line provided above.

Dues:  $10 / Junior(under 21)______$ 25 / Associate ______ $25 / Senior ______ $45 / Family ______

            Please consider making an optional donation towards our lodge improvements. 

            Donation:  $___________

Committees:     Lodge    Membership    Programs    Publicity    Ski Activities    Skizette    Social    Trips

Activities:           Alpine   Cross Country    Nordic    Snowboarding

DATE:  ___________        SIGNATURE :  ____________________________________________

DATE:  ___________        SIGNATURE :  ____________________________________________

DATE:  ___________        SIGNATURE :  ____________________________________________

                                                              Parent of Children, if applicable