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., BLHA Park 452-6282
Robin DeVilling, V.P.,
Wynnewood 451-1259