Camp Eberhart Alumni Association
316 S. Eddy St. • South Bend, IN 46617 • 574.234.0069 • FAX 574.234.6414
Membership Application - 2008
Please Print this application and mail with your contribution.
Name:
Maiden Name:
Address:
City, State, Zip:
Maiden Name:
Phone Number:
E-mail Address:
Years you were at camp:
Please check your choice:
[_] Minimum Dues = $40.00 - Thank You!
[_] Dues + Additional Contribution = $75.00 - Thank You![_]
Generous
Dues: $100.00
[_] Camp Really Made an Impression on My Life Dues: $200.00
[_] Other: $ ______________ Thank You!
Send your contribution to:
Camp Eberhart Alumni Association, Inc.
316 South Eddy Street
South Bend, IN 46617
Thank you for joining the Camp Eberhart Alumni Association!
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