Wednesday, April 9, 2008

Membership Application


For membership information, please contact Membership Secretary, Ruth Patrick at (717) 697-2945 or President, Brian Williams at senatorsfanclub@comcast.net.

Name: _______________________________       Phone: _____________________________________

Address: ___________________________________________________________________________

City: _________________________________       State: ________                  ZIP Code: ________________

Email Address:  _____________________________________________________

New Member:_____                                                            Renewal: _____
* $5.00 for annual individual membership;
* $15.00 annually for a family of 3 or more;
                  each family member will be issued a membership card.

Additional Name: ___________________________________________

Additional Name: ___________________________________________

Additional Name: ___________________________________________

Additional Name: ___________________________________________


Please print and mail this application with your check or money order to:
Harrisburg Senators Fan Club
PO Box 542
Camp Hill, PA 17001-0542