Camp Eberhart Alumni Association
316 S. Eddy St. South Bend, IN 46617 574.234.0069 FAX 574.234.6414


Membership Application - 2015


Please print this application and mail with your contribution.

Membership Application for 2015 Camp Eberhart Alumni Assoc.

Name:



Maiden Name:



Address:



City, State, Zip:


 


Phone Number:



E-mail Address:



Years you were at camp:


Please check your choice:

[_] Student Dues = $30.00

[_] Minimum Dues = $45.00 - 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 So Very Much!

 

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 in 2015!