Membership Applic

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SOUTHEASTERN OUTINGS Application for Membership and Request for Free Newsletters Please send the next three newsletters free. Please accept my application for membership. Please fill out and mail this form to receive the next three To join, you must complete, sign and date the newsletters which feature our detailed calendar of events. form below and enclose payment for your dues. Name: Last First Home Address: Street/Apt. No. City State Zip Home Phone: Bus. Phone: Email Address (if applicable): How did you find out about Southeastern Outings? Name of SEO member who referred you to the SEO (only if applicable) ______________________________ I am enclosing payment to the SEO for $10.00 per household or family for membership through 5/31/12 X Date: Please mail this form to: For additional information, please contact: SEO, 7944 Powers-Jones Rd., Gardendale, AL 35071 Dan Frederick (205) 631-4680 or (Please include payment if applying for membership) [email protected]

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SEO Membership Applic

Transcript of Membership Applic

Page 1: Membership Applic

SOUTHEASTERN OUTINGSApplication for Membership and Request for Free Newsletters

Please send the next three newsletters free. Please accept my application for membership.

Please fill out and mail this form to receive the next three To join, you must complete, sign and date the

newsletters which feature our detailed calendar of events. form below and enclose payment for your dues.

Name: Last First

Home Address: Street/Apt. No. City State Zip

Home Phone: Bus. Phone:

Email Address (if applicable):

How did you find out about Southeastern Outings?

Name of SEO member who referred you to the SEO (only if applicable) ______________________________

I am enclosing payment to the SEO for $10.00 per household or family for membership through 5/31/12

X Date:

Please mail this form to: For additional information, please contact:SEO, 7944 Powers-Jones Rd., Gardendale, AL 35071 Dan Frederick (205) 631-4680 or(Please include payment if applying for membership) [email protected]