MEMBERSHIP APPLICATION

Having read and subscribing to the membership requirements, I (we) apply for membership in the Foothills Trail Club:

Date:

Name:

Address:

Address line 2:

City/Town:

State/Province:   Zip/Postal Code:

Telephone*:

(* Please let us know in the "Comments" below if you do not want your phone number listed on our roster.)

Email:          Please retype email:

Single membership ($22)      or       Family membership ($30)

How did you hear about Foothills Trail Club?   Comments?

Remember to send your check to Foothills Trail Club, C/O Mr. Roy Tocha,
11 Eaglecrest Drive, Hamburg, NY  14075

THANK YOU!