MEMBERSHIP APPLICATION

or RENEWAL

I hereby apply for membership/renewal in the Mountain Top Hiking Club.  I agree to be solely responsible for my own safety and to take every precaution to provide for my own safety and well being while participating in activities of the Mountain Top Hiking Club.
  Individual $15.00
  Family $25.00
Please PRINT clearly or TYPE
          First Name ____________________   

         Last Name__________________________

Family Members _____________________________________________________________

Family Members _____________________________________________________________

Family Members _____________________________________________________________

Family Members _____________________________________________________________
 

Mailing Address _____________________________________________________________

Phone #               _____________________________________________________________

FAX  #                _____________________________________________________________

E-mail                  _____________________________________________________________

Your e-mail address helps save postage and paper.  We do not share it with anyone.


Please make checks payable to:
MOUNTAIN TOP HIKING CLUB
Send application and check to:
Mountain Top Hiking Club
PO Box 2889
Lake Arrowhead, CA 92352

The club reserves the right to refuse membership or renewal to anyone.


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