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MEMBERSHIP APPLICATION
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| Mail to: |
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SJAC
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PO Box 563
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Haddonfield, NJ 08033
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| ___ New Member ___Renewal ___Change |
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| Membership Type: |
| ___ Individual ($15.00) ___Family ($20.00) |
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| _____________________________________________________________ |
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| _____________________________________________________________ |
| Street Address |
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| _____________________________________________________________ |
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| Gender: ___ Male ___ Female |
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| Birth Date: ____ / ___ / ______ |
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| ______________________________________________________________ |
| email address (most club info is
distributed by email) |
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| Phone No.(s) you want us to use: |
| Home: __________________________________ |