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Scranton Canoe Club Membership Application
I hereby apply for
Active
Clubhouse
Membership at the Scranton Canoe Club.
Personal Information
Name :
E-Mail :
Phone :
Address :
City, State Zip :
,
Spouse Name :
Employment Information
Business or Profession :
Name of Employer :
Phone :
Address :
City, State Zip :
,
Years at this Job :
Miscellaneous Information
What local Community Organizations or other affiliations do you belong to, and what Civic Activities do you participate in?
If related to any members, please list those members and relationship:
1 :
2 :
List the names of 2 sponsors who you know at the Canoe Club:
1 :
2 :
List the name of the Board of Directors Sponsor:
1 :
Are you a member of any other Country Clubs? If so, list club and length of membership:
1 :
2 :
If new to this area, were you a Country Club Member elsewhere?:
How Long :
Club :
City :
Contact :
Have you ever been ejected, expelled, or resigned from any other club?
Yes
No
IF ELECTED TO MEMBERSHIP, YOU AGREE TO ABIDE BY ALL RULES AND REGULATIONS AT THE SCRANTON CANOE CLUB AS PROVIDED BY ITS BY-LAWS AND RESOLUTIONS THEREOF.
