Sandlapper Parrothead Club 2009

Membership Application/Membership Renewal

 

Mail to :           Sandlapper Parrothead Club

                       c/o Nick George
                       706 Milton Ave.
                       Rock Hill, SC 29730

 

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?

________________________________________________________________________

 

________________________________________________________________________

1998 - 20010 Sandlapper Parrot Head Club

 

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