Membership Application

Print, complete, and return this form along with check or money order for the membership fee to:

Wheeling Nailers Booster Club
953 National Road #177
Wheeling, WV 26003










Name_________________________________

 Address______________________________

 City_________________________________

 State_____________ Zip______________

Please list below the names, birthdate, and age of all persons this application applies to:

NAME BIRTHDATE AGE
     
     
     
     

If you wish to participate in one of the club's committees, please check those committees that interest you.

_____50/50 Raffle _____Bus Trips _____Membership
_____Nominating ______Financial Audit
_____Special Committees (parties, dinners, etc.)

Please enclose one of the following with this form: (check one)

New single $7.00____ Renewal Single $5.00____
New Family* $12.00____ Renewal Family* $10.00____

*A family membership consists of two adults (age 18 or older) and al children (age 17 or younger) living in the same household.
 
 


Membership valid May 31, 2001, thru June 1, 2002