Dues are $15.00 for a calendar year.     Members using this form who join or renew by January 20th will be included in the Annual Membership Directory which is sent with the March Newsletter.

Those who join or renew after Dec. 1st may not hear from the club until the March Newsletter. If you have any questions, contact the Secretary or Newsletter Editor

Your ZIP + 4 full ZIP CODE will help insure your newsletters reach you quickly. Please keep the Treasurer and Newsletter Editor apprised of changes to your address. Newsletters are mailed bulk rate, and the club pays 70 cents for each address correction supplied by your local post office.

NAME ________________________________________ SPOUSE ___________________________________

ADDRESS     ______________________________________________________________________

______________________________________________________________________________

CITY     ________________________     STATE/PROV.    ___________________     CTRY: __________

*PHONE (INCLUDING AREA CODE )     ( ___ ) __________     POSTAL CODE     _______________

*FAX (INCLUDING AREA CODE )     ( ___ ) __________     *E-MAIL     ____________________

      *WE UNDERSTAND THE DESIRE TO PROTECT PRIVACY IF YOU CHOSE NOT TO SHARE THIS INFORMATION.     WE ALSO ASK MEMBERS NOT TO ABUSE THIS DIRECTORY INFORMATION OR SHARE IT IN A WAY THAT MIGHT BE TO ANOTHER MEMBER'S DETRIMENT.

A NOTE TO OUR INTERNATIONAL MEMBERS -- PLEASE EXCUSE THE U.S.A. BIAS IN THIS FORM

RETURN TO:
Mala McGhee, Treas.
8291 Hwy. 39
Hollandale, WI 53544-9949