Membership Form

The Happy Wanderers Volkssport Club
P.O. Box 290153
Port Orange, FL 2129
Membership Application

(Please complete form before printing.)

	Date:
Renewal	Individual $ 15.00	Household $ 20.00
New Member	New Member includes ONE New Walker packet.	New Member includes TWO New Walker packets.
Name(s):
Address:
City:		State: Zip:
Email:
Phone:	Home:	Cell :
Birthdate(s): Month & Day

Please make checks payable to:
The Happy Wanderers Volkssport Club.

FOR CLUB USE ONLY
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New Walker Packet(s) provided: _____YES ______NO Newsletter provided: ____YES ____NO
Check #_______ Amount $__________ Cash $_________ ************************************************************************
This is your receipt of payment in the amount of $____________ in the form of cash or check (circle one) for membership in the Happy Wanderers Volkssport Club received on __________________________. Membership runs from Jan-Dec.each year. If you did not receive a new walker packet or newsletter today, one will be mailed to you by our membership chair, Tammy Hodgkins, soon. We value your membership and hope to see you often.

Please make checks payable to: The Happy Wanderers Volkssport Club.

Please make checks payable to:
The Happy Wanderers Volkssport Club.