Membership Application
For
the year 2012
Club Dues (January 01 to Dec. 31)------------------------------------$40.00***
FMDAC*
Dues (Jan. 01 to Dec. 31)------------------------------------$ 5.00
Club
Patch------------------------------------------------------------$ 5.00 ea (2 for $ 7.00)
$45.00 CLUB DUES ARE DUE AS OF JANUARY IST**. $40.00 YEARLY AND $5.00 YEARLY FOR FMDAC* waived if paid through
another club.
Name:-------------------------------------------------------------------------------------------
Address:-----------------------------------------------------------------------------------------
City:-----------------------------State: ------------------------------------Zip:-----------------
Phone
#: (-------)------- -------/ On-line for Newsletter?: Yes--------No----------
E-Mail Address-----------------------------------------
Meetings
are held on the first Thursday of the month at Sparkle Lake, Yorktown Heights, NY. starting at 7:00 pm. No meetings are held
in July, August, December or January.
If you are
unable to attend any of the scheduled club meetings and would like to be a member, please complete this application, enclose
a check for the appropriate amount made out to the P/MD&AS, Inc. and mail to the Club’s Treasurer:
Larry Cohen
2664 Cecile Drive
Yorktown Heights, NY 10598
** Members
will not be admitted to any outings unless dues are paid. Dues paid after the April meeting date will incur a
late charge (see By Laws Article V).
*** Covers cost of insurance for all Club events.