Sandlapper Parrothead Club 2008

Membership Application/Membership Renewal

 

Mail to :           Sandlapper Parrothead Club

                        PO Box 1926

                        Fort Mill SC 29716

 

Date: __________

Membership Type:              Single 25.00              Family 45.00

 

Name(s): ___________________________________________________________

 

Birthday(s)_______________________________________________________________________

 

Children: ___________________________________________________________

 

Birthday(s)_______________________________________________________________________

 

Email: __________________________________________________________________________

 

Address: ____________________________________________________________ 

 

City: ________________________   State:__________________ Zip code:________

 

Home Phone: ________________________   Cell Phone: _______________________

 

(Questionnaire Optional)

Please complete the following questionnaire to let us know what your interests are:

 Are you interested in running for a board position?              Yes                No

 If yes which position? (President – Vice President – Secretary – Treasurer – Membership Chair)

 

Would you like to be included on planning committees?        Yes             No

 

Do you have any ideas or comments that the Club might benefit from?

________________________________________________________________________

 

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© 1998 - 2008 Sandlapper Parrot Head Club

 

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