Application

 

 

2012 MEMBERSHIP ACKNOWLEDGMENT

You can print this page, fill in ALL information and mail to:

160 Maple ST. Bellingham, MA 02019

 

Membership Type: Gold, Silver, Weekend or Value Pass

 

Member Information:

 

Member Name:________________________________

 

Address:________________________________

 

________________________________

 

CC Type: Visa – Mastercard – Discover – Amex

 

CC#_________________________________________

 

Exp. Date_________

 

Tel # _____________

 

Email__________________________