Welcome to the
Elks Swim Club
Wilmington, DE
Welcome to the
Wilmington, DE |
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Elks Lodge Information |
2009 ANNUAL DUES ELKS SWIM CLUB INC. P.O. Box 7857, Wilmington, DE 19803 Last First Lodge Member ______________________ __________________________ Spouse's Name ______________________ __________________________ Street Name ____________________________________________________________ City and State ________________________________ Zip Code _____________ Home Phone # _____________ Work Phone # ______________ Cell Phone # ____________ E-mail Address _________________________ Lodge Member No. (On lodge card) _________ DEPENDENT MUST LIVE IN HOUSEHOLD Dependent Name/ Date of Birth Dependent Name /Date of Birth ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ ______________________________ Babysitter ______________________ (Include an additional Fee of $30.00 with payment – unless already a member of the Elks Swim Club) New Members -There is a $75.00 Application Fee for new member applications PLEASE CIRCLE THE OPTION YOU ARE SIGNING UP FOR
NO CHARGES FOR CHILDREN BORN IN YEARS 2008 AND 2009 POOL DUES MUST BE PAID BY MAY 1, 2009. POOL DUES RECEIVED AFTER MAY 25'" WILL BE ASSESSED A $50 .00 LATE FEE. TO BE PERMITTED INTO THE POOL, ELKS LODGE DUES MUST BE CURRENT FOR 2008. PLEASE RETURN THIS FORM WITH A CHECK MADE PAYABLE TO "ELKS SWIM CLUB" and mail to P.O. Box 7857, Wilmington, DE 19803. |
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Page is Under Construction. Please direct any questions to elksswimclub@nac.net |