Blue Ridge Ski Council

 

Ski Club Registration form

Dues for coming year ($0.15 per member, but not less than $5.00 nor more than $35.00.  $5.00 penalty if registered after 15 October, due to membership lapse.
Please send to:
Candy Levin
BRSC Treasurer
3436 Bannerwood Dr.
Annandale  VA  22003-1221 

This registration is for the season:

Please provide the following Club information: areas in Yellow are required

Club Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Club Phone
Club FAX
 Club E-mail
 Club URL

Please provide the following contact information for your club president:

Title
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Work Phone
Home Phone
FAX
E-mail

Please provide the following contact information for your clubs BRSC  Delegate #1:

Title
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please provide the following contact information for your clubs BRSC  Delegate #2:

Title
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please provide the following contact information for your clubs Western Carnival leader:

Title
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please provide the following contact information for your clubs newsletter editor:

Title
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
FAX
E-mail

Please provide the following contact information for your clubs Trips Chairperson:

Title
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please provide the following contact information your clubs Eurofest Leader:

Title
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

Please provide the following contact information for your clubs Race Coordinator:

Title
Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
FAX
E-mail

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Wayne R. Homens
Webmaster
Blue Ridge Ski Council

Copyright © 2000 Blue Ridge Ski Council. All rights reserved.
Revised: September 09, 2000