Bethel Outing Club (BOC) Mail-in Membership Form

print out this form and return to BOC.
2009-10 Application (November 1, 2009 to October 31, 2010–includes 2009-10 ski season)
 

___ I enclose $10 for my individual 2009-10 BOC dues                                   
 

___ I enclose $15 for my family 2009-10 BOC dues                                       

 Checks should be made payable to: Bethel Outing Club, and forms returned to:

Julia Reuter, Treasurer, Bethel Outing Club, P.O. Box 637, Bethel, ME 04217 (or bring to Julia at the Bethel Area Chamber of Commerce).

 Name: __________________________         email*: ___________

Address: _______________________________________________________

Town: ______________________ State: ____  Zip: _________ 

Phone: ______________

 

* email addresses are kept confidential & used for official club announcements

 

Additional family members:

 
_______________________________

 
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_______________________________

 

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Office Use Only

    Date: _________ How Paid: ____   Amount Paid: ___________ Rec’d by: __________