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SOARING WITH SAS

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MEMBERSHIP



Congratulations, our membership keeps growing in small amount but with a steady beat! Keep getting the word out. Take those newsletters with you to all your fall gatherings. Get extras by calling Marcia at 222-1239 or Yvonne at 221-3926. Remember, SAS soars!!! (or bikes).

People who pay dues after September 1, 2009 will be paid through December 2010. Our dues are for the calendar year but those who join after Sept. 1 have the benefit of membership for the four remaining months of 2009.

SAS is open to individuals over age 55 who would like to join people who share their sporting interests.

____________________________________

MEMBERSHIP APPLICATION 2010

NAME Please complete the application below and return with your 2010 dues of $17.00 to SAS. (print clearly.)

ADDRESS_________________________________________

___________________________________________________

CITY ___________________________________

STATE_________ ZIP CODE______________

PHONE_______________________________________

RETIRED____________ SEMI-RETIRED______________

WORKING ______

E-MAIL ADDRESS (optional)

___________________________________

CELL PHONE NUMBER (optional).__________________

Interests: Biking __ Bocce __ Bowling __ Camping __ Canoeing __ Dancing __ Golf __ Tennis__ Volley Ball_ Walking _ Ice Skating __ Rollerblading __ Skiing (Downhill} __ Skiing (cross-country) __ Snow Shoeing__

If you have other sport interests than are mentioned please list them here.

____________________________________

RELEASE OF LIABILITY (application is not accepted without this)

I understand that there may be risk of injury or loss to me involved in the activities in which I may engage with in this organization. I hereby assume that risk and I release and hold harmless the organization, its officers, its activity leaders. and my fellow participants from all liability for any allegation of misadventure or negligence which may result from such an activity. ~

Signature

_________________________________________________________________

Date___________________________________

New Member_ or Renewing Member__. Enclose check payable to SAS for 2010 dues. $17.00. Mail to: SAS, P.O. Box 55334, Madison, WI 53705.

Optional Donation _____________ How did you hear about Sports for Active Seniors?

Please check interests you may be willing to help with:_Membership, _Hospitality,_ Programs,_ Newsletter,_ Computer Literacy ,_Activity Leadership,

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