Please print this form, complete and mail to
    Rough and Tumble
    P.O. Box 9
    Kinzers, PA 17535-0009
with your enclosed check or money order.
Make check payable to "Rough and Tumble".
A membership card will be sent upon receipt of your completed application.
You should receive your card within four weeks of your application
 
Calendar Year 2008 Dues:
 
  $20.00 Per Person
 
  $25.00 Per Family  (Parents & Children 16 and under)
 
  $200.00 Per Person Sustaining - Lifetime Membership
 
  NEW MEMBER               RENEWAL
 
 
Name:      _________________________________________________
 
Address:  _________________________________________________
 
                _________________________________________________
 
Tel:         (_____)  -  ______  -  _______________
 
Email:     _____________________________________
 
Occupation:   _____________________________________
 
I enclose a donation of $_______________ to R & T.
 
  I would like to Volunteer at R & T.
 
 
Regular yearly dues are due January 1st of each year.
Sustaining Lifetime Memberships are accepted throughout the year.
 
(Printed from www.roughandtumble.org.)