2005 MembershipForm

(good through July 2006)

Interested in becoming a member or needing to renew your membership? Please fill out the membership form. Membership dues are $10 for individuals or $15 for a family.

NAME ______________________________________________________________________

MAILING ADDRESS

___________________________________________________________________________

EMAIL ADDRESS ______________________________ PHONE ________________________

Please print out this form and mail it with your dues to Rico Alpine Society, PO Box 185 Rico, Colorado, 81332 or drop it by 18 River Street during normal business hours. Thanks for your continued support!