Membership Application for 2017

Camp Eberhart Alumni Association, Inc.

 

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 - Thank You!

[_] Camp Really Made an Impression on My Life Dues: $200.00 - Thank You So Very Much!

[_] Other: $ ______________ Thank You!



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Use PayPal to Pay for the membership!


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 2016!

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