MEMBERSHIP RENEWAL FORM

 

PLEASE PRINT OUT THIS FORM AND PRINT LEGIBILY


NAME(S)___________________________________________________________________________


ADDRESS______________________________________________________________


_____________________________________________________________________


PHONE (optional) _________________________   E-MAIL____________________________________


Notes: 1. The Tales will be delivered electronically unless you check “no” No _____
2. The annual membership list will show your email address unless you check “no” No _____


Please check: ____ $22.00 Individual Membership per year for ___ year(s) $__________
                      ____ $30.00 Family Membership per year for ____ year(s)    $__________
                      ____ Donations gratefully accepted for upkeep of the Conservation Trail. $__________


Total Enclosed $___________


Make checks payable to: Foothills Trail Club and Send this form and check to the Membership Chair:
Roy Tocha
11 N Eaglecrest Dr
Hamburg, NY 14075

 

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