Bear Valley Ski Club Membership Form 2009-10

 

Date: ____________________

bvscLogo

Family Name: ________________________________________

Male (husband) ______________________________________

Female (wife) ________________________________________

 

List Children under 21 years of age .......... Birthdays

______________________________ _____ / ____ /____

______________________________ _____ / ____ /____

______________________________ _____ / ____ /____

______________________________ _____ / ____ /____

 

Home Street Address: __________________________________________________

(If not located in mountains)

Home City & Zip: ____________________________________

Home Phone #: ______________________________________

 

Email Address: _____________________________________________

 

Mtn. Home Address: ____________________________________________________

(Include both PO Box & Street address)

Mtn. City & Zip: ______________________________________

Mtn. Phone #: ________________________________________

 

If a new member how did you hear about the Club?__________________________________________

 

If you would like to be listed on our “non-ski” activity list please add your name and activity(ies) on the back of this form and check here ______.

 

ANNUAL DUES: Family membership - $30: Single membership - $15. Make checks payable to Bear Valley Ski Club and send with the completed application form to:

 

BVSC MEMBERSHIP
c/o Fred and Patricia Evans
189 Arbuelo Way
Los Altos, CA 94022