| | | Stowe
Bicycle Club | | |
| | | 2007
Membership Application | | |
| | | | | |
| | | | | |
| | | _____
Individual $20 ______Family $35 | | |
| | | | | |
| | | | | |
| | | Name:
_________________________________________________________ | |
| | | | | |
| | | Address:
_______________________________________________________ | |
| | | | | |
| | | E-mail
Address: __________________________________________________ |
| | | | | |
| | | City:
______________________ State:
____________ Zip: _____________ | |
| | | | | |
| | | Home
Phone: ___________________________
Work Phone: _____________ | |
| | | | | |
| | | | | |
| | | Additional
Family Members: | | |
| | | | | |
| | | Name:
________________________________________________________________________ |
| | | | | |
| | | Name:
________________________________________________________________________ |
| | | | | |
| | | Name:
________________________________________________________________________ |
| | | | | |
| | | | | |
| | | Please
send this application along with check to: | | |
| | | | | |
| | | Stowe
Bicycle Club | | |
| | | 890
West Hill Rd | | |
| | | Stowe,
VT 05672 | | |
| | | | | |
| | | | | |
| | | For
more information call Bill Cannon at 253-4368 or | | |
| | | E-mail
Janetbill2@msn.com. or | | |
| | | visit
our website at Stowetimes.org | | |
| | | | | |