First Coast Trail Forgers Walking Club

 

Membership Application

 

New____ Renewal____

 

Individual $12___ Household $20_____July 1 through December 31

 

Individual $6___ Household $10____ January 1 through June 30

 

 

Name(s)

 

 

Household membership; List all members

 

 

Address

 

 

City, State, Zip

 

 

Day phone                                    Eve phone

 

 

E-mail address

 

Your active participation is important.

Please circle at least one area of interest:

 

Checkpoints                Publicity

Serving food                Registration

Mailing                        Telephoning

Trailblazing                 Awards

 

Make checks payable to:

 

First Coast Trail Forgers Walking Club

c/o Sharon Lord

3019 Paddle Boat Lane

Jacksonville, FL 32223