2010 MWSA member application
MICHIGAN WATER SKI ASSOCIATION
2010 Membership Application
Name
_______________________________________________________________
Address _________________________ ________ City________________________
State ______________ Zip ____________
Phone __________________________ Cell
_________________________________
Email
________________________________________________________________
_____ 1-3 members $7.00 each
_____
4-5 members $25 total
_____ 6-10 members $40
total
_____ 11-20 members $60 total
_____ 21+ members $90 total
Please include the above contact information for
ALL club members.
Contact
information can be listed below or included on a separate sheet.
Checks can be made payable to: MWSA
Mail to: Laura Wiaczek,
1012 Peachwood Court
Brighton, MI 48116
Name
______________________________________________________________
Address _________________________________ City_______________________
State __________ Zip __________
Phone ____________________________ Cell
______________________________
Email
______________________________________________________________
Name
_______________________________________________________________
Address __________________________________ City_______________________
State ___________ Zip __________
Phone ____________________________ Cell
_______________________________
Email
________________________________________________________________
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