AMBLER MEMBERSHIP APPLICATION

LAST NAME:  _______________________ FIRST NAME_______________

FAMILY MEMBER'S NAMES______________________________________

ADDRESS:  _____________________________________________________

STATE:  _____________  ZIP:  _______________  TELEPHONE:  ______________

CELL PHONE:   ______________________________

E-MAIL ADDRESS:  ___________________________

I hereby make application for membership in, and agree to conform with the bylaws or any amendment thereof, in the ANNAPOLIS AMBLERS, and with the Rules and Regulations of the AVA in the IVV, and in application I certify the above.

DATE:  ______________ SIGNATURE: _______________________________

Annual Membership Fees:  Individual/Family - $15.00 _____New      _____Renewal

All Renewal Fees are annual beginning July 1, and membership will be valid through June 30.

Checks Payable to:  Annapolis Amblers

Please mail check and this application to:
Annapolis Amblers
Attn:  Betty Davis

2047 Herdon Dr.

Annapolis, MD 21401



PERMISSION FOR ROSTER LISTING (circulated throughout the members):
Please indicate your wishes:   NOTE: WE DO NOT SHARE YOUR INFORMATION outside of our club.

Please note:  In the event you chose not to list cell number, it is important that our Trail Master, Tom DeHetre have your cell number. We try not to get separated on the trail, however, if that happens, we want to be able to contact you.

I give permission to list my (our) name(s)            ____yes      ____no
address                                                                ____yes      ____no
phone number                                                     ____yes      ____no
email address                                                          ____yes      ____no