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HUB CLUB Membership Application Year________
NAME: __________________________________________________________________
ADDRESS: _______________________________________________________________
_______________________________________________________________________
PHONE:(home)______________________
(work)____________________
(cell)_____________________
EMAIL ADDRESS_______________________________________________________________________
Also member of: ____ADS ____CAA, _____USEF,
Local club______________________________________________
MEMBERSHIP DESIGNATIONS
INDIVIDUAL MEMBERSHIP: 18yrs or older, 1 vote per membership
FAMILY MEMBERSHIP: Couple and any underage children (<18), immediate family, 2 votes per membership.
JUNIOR MEMBERSHIP: Child under 18yrs of age, no voting privileges. (Must have an adult member as sponsor).
Also, parent/guardian must sign on application for Junior Members to participate at club events.
I accept the benefits, obligations and responsibilities of membership and agree to abide by the HUB Club By Laws
Signature(s):__________________________________________________________ Date________________
____________________________________________________________________ Date________________
____________________________________________________________________ Date :_______________
Parent or Guardian (if under 18 years of age)
INDIVIDUAL MEMBERSHIP : $30.00 (Renewing or New)* $____________
FAMILY MEMBERSHIP: $40.00 (Renewing or New)* $____________
JUNIOR MEMBERSHIP: $15.00 (Renewing or New)* $____________
*New memberships received after June 30 will be pro-rated for 6 months
check #_____________
date________________
Send check with completed forms to:
Sue West
16212 Nelson Rd.
Woodstock, IL 60098
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