Membership Application
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Name |
Date |
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Address |
City |
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Zip |
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Day Phone |
Evening Phone |
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Signature |
Email (please print clearly) |
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INTERESTS: Check all that apply. Your interests will
be included in the Membership Directory so that you may contact or be contacted
by others with similar interests.
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Archery |
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Kayaking/Canoeing |
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Community Service |
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Backpacking
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Letterboxing/Geocaching |
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Mother
& Child Outings |
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Bicycling
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Outdoor
Photography |
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Couples Outings |
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Bird
Watching |
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Plant
Identification |
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Have
an RV |
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Camping
|
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Map
and Compass Skills |
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Retired/Available
Weekdays |
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Cave
Exploring |
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Rock
Climbing/Bouldering |
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Other
(write in): |
|
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Fishing/Flyfishing |
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Windsurfing |
|
|
|
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Hiking |
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Wilderness
Survival |
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Horseback
Riding |
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Tubing |
|
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Confirmation will be emailed to you when your application is processed.
___Yes, my name and information can be published in the club directory.
___ I am interested in leading a TOWN outing. Location:____________________________
___ I am interested in being a speaker at a TOWN meeting. Topic: ____________________
___ I know someone who would be interested in being a speaker. _____________________
How did you hear about TOWN Austin?__________________________________________
What topics would you be interested in at future TOWN meetings/events? ______________________________________________________________________________
For
more information about TOWN-Austin and other chapters across
Membership dues of $20 are payable before Feb. 1. After Aug. 1, dues are $10.
Make your check payable to TOWN Austin and send your completed form to:
TOWN-