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Seven Hills Wheelmen Membership Form
Seven Hills Wheelmen
www.SevenHillsWheelmen.org

Seven Hills Wheelmen
Membership Form


Join or renew between Jan. 1 and the fall century, and your membership will expire Dec. 31 the same year.
Join at or after the fall century, and your membership is valid until Dec. 31 the next year.


First Name:
Last Name:
E-mail:
Address:
City/town:   State:    ZIP code:
Telephone:
Newsletter Delivered By: Email ($25)  
We might publish a member directory that will be available only to club members. Check all that apply:
Do not publish my name or any of my contact information.
Do not publish my phone number.
Do not publish my postal address.
Do not publish my e-mail address.
Waiver and Release:

    

Revised: 12/08/2021   Copyright ©2008-2022  Seven Hills Wheelmen  admin@sevenhillswheelmen.org