NAME  _____________________________________________________________

   
    ADDRESS __________________________________________________________

    CITY/STATE/ZIP _____________________________________________________

    TELEPHONE _____________________ E-MAIL*___________________________
    *E-MAIL saves us postage when notices or reminders are needed.
      The club newsletter is also sent out via e-mail.

    DUES _________$20 Individuals                  ____________$30 Family

     ----------------------------------------------------------------------------------------------------
    Clip out the above, Make check payable to:  UNIVERSITY OUTING CLUB

    
  Mail to: George Pitcher
                       35 S. First Ave.
                       Highland Park, NJ 08904