Official PSC Use Only: Member No.                Amt. Received: $                Cash        Check No.       

2010–2011 PITTSBURGH SKI CLUB Membership Application




All Fields Preceded by an Asterisk (*) are required            *Date:





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*Type of Member:    New Member     Renewing Member

*Type of Skier:   Downhill Skier     Cross Country Skier     Snowboarder     Want to learn     Non–Skier

Check this box if you DO NOT want to be listed in our annual membership directory.

Check this box if you want your newsletter by U.S. mail instead of e–mail for an additional $10/year.

If you wish to serve on any of the club committees, select the appropriate check box(s) below:
Program      Travel      Publicity      Membership      Hospitality      Racing

Processing the application

Annual Dues for adults 21 and over are $25. Additional adults at the same address are $15 each. Children under 21, with adult at same address, are $10 each. Memberships will be effective until May 31, 2011. The PSC By–Laws require that membership privileges be terminated unless renewal dues are received by July 31st.

To process your membership, do the following:

  • Complete a new application form for EACH membership (even from the same household).
  • Type in the two distorted words that are above the buttons below
    OR click the speaker symbol and type in the voice challenge that you hear.
  • Press the “Submit” button below ONCE for each application.
  • Press the “Print” button below and sign each printed application form.
  • Send your completed and signed form(s) and a check for the required amount to:
    PSC Membership, P.O. Box 2022, Pittsburgh, PA. 15230

  *As a member, I hereby waive all rights to clain for injury, loss, or damage arising through any activities of the Pittsburgh Ski Club (please check to indicate agreement).


Signature                                                                                                     (Parent/Guardian, if under 21)


 




                                

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