MEMBERSHIP APPLICATION

Please print this application and fill out and mail to the address listed. Thank you for your support.

2010 Pocono Outdoor Club Membership Application

Send check made payable to "Pocono Outdoor Club" to

POC Memberships at 47 Stones Throw, East Stroudsburg, PA 18301.

Memberships are per calendar year. The POC Newsletter is published quarterly/4 times a year. Applicants must be at least 18yrs old.

Name(s)__________________________________________________________________________________

Address__________________________________________________________________________________

Phone:(_____)__________-_____________________________

Email:_________________________________@________________________

[ ] $10. Basic Membership        [ ]$15. Family Membership

Higher Levels of Trail Support

[ ]$18. Contributing Member     [ ]$25. Trail Maintainer      [ ]$50. Trail Builder      [ ]$150. Life Member

Additional Contributions are welcome and benefit local trails. $___________

____ I would like to lead an outing.

____ I would be interested in doing volunteer trail care.

[ ] Check here if new member     [ ] Check here if RENEWAL     [ ]Please send me email updates/newsletter

This is a gift membership from _____________________________________

____________________________ My signature verifies I am 18 yrs of age and agree to the Rules of the Pocono Outdoor Club. I understand that I am responsible for me and my minors