BONDHOLDER Membership Form - 2011

Oaklyn Swimming Club, Inc.                                                                                        

P.O. Box 92                                                                                                                       

Oaklyn, New Jersey   08107

Welcome to the 2011 Oaklyn Swim Season

PLEASE READ AND FILL OUT CAREFULLY:

1.       DO NOT TEAR SHEETS IN HALF

2.       ALL INFORMATION MUST BE FILLED OUT

        ALL PAYMENTS MUST BE MAILED TO:

                OAKLYN SWIMMING CLUB, INC.

                P.O. BOX 92

                OAKLYN, NEW JERSEY   08107

BOND HOLDER FAMILY…………………………………………………………………………….…$275.00

BONDHOLDER INDIVIDUAL………………………………………………………………………   .$125.00

SR COUPLE ……………………………………………………………………………………………..….$150.00

SR INDIVIDUAL……………………………………………………………………………………………$100.00

BOND #___________

^{(DO NOT TEAR SHEET)}

MEMBER  FAMILY NAME:

ADDRESS:

PHONE NUMBER (HOME / WORK):

EMERGENCY CONTACT:

EMERGENCY PHONE NUMBER:

E-MAIL ADDRESS:

YOU MUST LIST THE NAMES OF ALL PERSONS, USE BACK IF NEEDED

                                                                                                                                                                                                                                                  

                                                                                                                                                                      _{BREAKDOWN OF PAYMENT:}

 _{NAME                                                                                                                                                                                                              Dues}                                                                           

 _{NAME                                                                                                            AGE}                                                                                                                                      

 _{NAME                                                                                                            AGE}

                                                                                                                                                                                                       _{10 Guest passes}                        FREE

 _{NAME                                                                                                            AGE                                                                    After May 1st add                          25.00}     

 _{NAME                                                                                                            AGE                                                                                TOTAL PAID:}

 _{NAME                                                                                                            AGE                       DATE PAID:                                             CH}

ANY QUESTIONS, EMAIL US AT oaklynswim@hotmail.com , OR CALL (856) 854-9895 AFTER APRIL 30, 2011. If you need immediate assistance please contact Club President Sharon Brandley at 856-869-9269. Thank You

THANK YOU