Membership Application

BULLTHISTLE HIKING CLUB
MEMBERSHIP FORM

     The Bullthistle Hiking Club invites you to become a member. Dues are payable by the 28th of February of the calendar year.  MAKE CHECK PAYABLE TO: BULLTHISTLE HIKING CLUB, and mail to P.O. Box 225, Norwich, NY 13815, or hand in at any meeting. 

NEW_____ RENEWAL ______ MEMBER FOR JANUARY 1ST THRU DEC. 31 202__

NAME: ____________________________________________    PHONE: ___________________

ADDRESS: ___________________________________________________________________

EMAIL: __________________________________________   
(Email addresses are not shared with anyone other than club officers without express permission of member.)

DUES: $10.00/person. No dues charged for children (age 17 yrs or younger) of club members.
                       # ADULTS _______ # CHILDREN ____   ENROLLED
                                                                          AMOUNT ENCLOSED: _______________
(GIFT IS NOT YET TAX DEDUCTIBLE)                                           GIFT: _______________    
                                                                                             TOTAL: _______________
Check the box if you do not want your contact information shared with the Finger Lakes Trail Conference.

If you cannot be an active member of club, please still consider a membership in support of our trail work on the FLT, tool and equipment purchases for trail work, and to fund trail events.
Thank you very much for your financial support.
FLT WEBSITE IS: www.fingerlakestrail.org
BULLTHISTLE WEBSITE IS: www.bullthistlehiking.org

                                                 -------------------------------------------------
                                                         I WOULD BE INTERESTED IN:
____ OCCASIONAL TRAIL WORK PROJECTS
_____: AS A TRAIL STEWARD (Love your own piece of trail to death)
_____: WITH COMMITTEE WORK (ASK FOR LIST)
_____: SERVE ON BOARD OF DIRECTORS
_____: SERVE AS A CAR SPOTTER (TRAIL ANGEL)
_____: HIKE LEADER
_____: PUBLICITY CHAIRPERSON
_____: AWARDS/RECOGNITION CHAIRPERSON
_____: NATIONAL TRAILS DAY CHAIRPERSON
_____: I HAVE A SPECIAL SKILL THAT I BELIEVE MAY HELP THIS CHAPTER (DESCRIBE ON THE    
            BACK OF THIS FORM)
PAYMENT CAN BE BY CASH OR CHECK FOR $10.  IF USING PAYPAL, FEE IS $3 SO TOTAL AMOUNT IS $13.00 PAYPAL HERE
-- Peg   
OFFICE USE ONLY          
DATE REC’D: ___________________
Paid: CASH: $_______________CHECK #: ____________________
CHECK DATED _______________ CHECK AMOUNT $______________
PATCH AT MEETIJNG ______________ VIA US MAIL ____________

FORWARDING ADDRESS: EMAIL_________US MAIL _____________