U.P. SNOPHLYERS

2425 LUDINGTON STREET

ESCANABA, MI 49829

MEMBERSHIP APPLICATION

Please Print Clearly:

Name: _____________________________________________________________________________________

Address: ____________________________________________________________________________________

State & Zip: _____________________________________________________________________________________

Phone: ____________________________________________________________________________________

E-mail Address:_______________________________________ 

Can we include your email address in the club roster on our website?  YES____  NO ____

Single Membership  _______                                                                                   

$10.00

                                                                            Membership Year: _____________

Family Membership  _______

$15.00

Business Membership  _______                                  

$35.00

                      Would you like to be on the groomer operator list?  YES _____    NO _____

Signature: ____________________________________________ Date: ___________________

Send this form with check or money order to the address at the top of the page.