Membership Application |
|---|
| Date:
New or Renewal Membership Address change |
| First Name:
Last Name: |
| Address 1: |
| Address 2: |
City: State/Province: Postal Code (US Zipcode+4):
Country: |
| Area Code: Phone Number: |
| E-mail Address: |
Associate Membership: Receive 4 newsletters, 2 magazines, 1 membership card, directory listing,
and start up packet for new members. | $30.00 |
Sustaining Membership: Receive 4 newsletters, 2 magazines, 1 membership card, directory listing,
newsletter listing, thank you from the commander, and start up packet for new members. | $40.00 |
| Select Membership Type:
|
Family Membership of Associate and Sustaining members: For record keeping purposes, please list your spouse,
and all children under 18 that live with you. If you want any of your family members to be listed on the membership card
and be listed in the directory, please indicate which ones, and include $1 for each in your payment. |
| Family Member Name: List: | $1.00 |
| Family Member Name: List: | $1.00 |
| Family Member Name: List: | $1.00 |
| Family Member Name: List: | $1.00 |
| Family Member Name: List: | $1.00 |
| Canadian Postage: | $7.00 |
| Overseas and Mexico Postage: | $15.00 |
| Donation: | |
Credit card payments are accepted with a small fee via Pay Pal. The charges will be outlined on the payment screen.
* NO Canadian or Foreign checks, PLEASE! U.S. Funds ONLY!
If you paying by check or money order, send your completed application with your payment
drawn on an U.S. Bank for the total shown made payable to
"THE WHEELMEN" to:
The Wheelmen
Lisa McConnell, The Wheelmen Treasurer
58744 Ox Bow Drive
Elkhart, IN 46516.
The membership year is January 1st to December 31st.
To maintain continuous membership, renewal should be received between October 1st and December 31st.
New memberships received after September 30th are posted to the following year. |
| Notes: |