University Outing Club
ACTIVITIES MEMBERSHIP
OFFICERS
MULTI MEDIA
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Membership Application


NAME  _____________________________________________________________

   
ADDRESS __________________________________________________________

CITY/STATE/ZIP _____________________________________________________

TELEPHONE _____________________ E-MAIL*___________________________
    *E-MAIL saves us postage when notices or reminders are needed

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             

For further information contact: hikeuoc@comcast.net
or call
Jean Romsted
732-247-0316
jromsted@rci.rutgers.edu

For a printable version of the form, Click here
(Printing this page not recommended)


Greenwood Lake

2012 University Outing Club