MEMBERSHIP ENROLLMENT FORM

NAME/NAMES________________________________________________________

ADDRESS____________________________________________________________

CITY-STATE-ZIP CODE________________________________________________

TELEPHONE NUMBER________________________________________________

Family $15.00________________________ Single $10.00______________________
DONATIONS APPRECIATED_______________________

I WISH TO SUPPORT: WYNNEWOOD________PARK_________BOTH______

MEMBERSHIP DATE - JANUARY 1 TO DECEMBER 31 EACH YEAR

Mark McKee III, President 452-1004           Pam Ilott, Treasurer 230-6750
Judy Gilmore, Secretary 452-5387      Joyce Bumbalough, Asst. Treas. 451-9903
Anthony Anglea, V.P. 452-6282              J R Robison, V.P. 451-3941