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Please print this out and send with check in the amount of $20 per person made payable to Sub Sig, Inc. to:
Mark Levine
42 Pine St.
Bedford MA 01730
NAME: _________________________________________________________________________________________
E-MAIL ADDRESS: _____________________________________________ or SEND AN E-MAIL TO: subsigtrips@yahoo.com
IF YOU ARE NEW, HOW DID YOU HEAR ABOUT SUBSIG? ( ) FRIENDS ( ) WWW.SUBSIG.ORG ( ) DAY TRIP
( ) SUBSIG BUSINESS CARD ( ) SUBSIG YAHOO ( ) AMC, AYH, ETC. ( ) GO NEW ENGLAND ( ) OTHER
ADDRESS: ______________________________________________________________________________________
CITY:___________________________ STATE:__________________ ZIP: __________________________________
TELEPHONE NUMBER: ____________________________________________________________________________
( ) DO NOT POST MY PHONE NUMBER
( ) RENEWAL ($20)
( ) NEW MEMBER ($20)
Membership dues may also be paid to the leader during a trip. Guests (temporary members)
who become members by paying dues during a trip will be charged the member rate for that trip.
Annual memberships expire each October. Dues are expected to be paid
by the annual meeting in October. Prior to October, renewals count
toward the current membership year, which expires in October. New
memberships (only new members -- not members rejoining) started in July or
later will continue through October of the following year.
To receive the member rate for the cabin,
current-year dues must be paid. Please print this out and send with
check made payable to the Schoolhouse Treasurer: Mira Band, 33 Russell St., Brookline,
MA 02446. Name:
___________________________________ c Annual Membership $ 25 E-Mail:
__________________________________________________________________ Street:
__________________________________ c Sustaining Membership
$ 225
(life-time, per
husband/wife couple) City/State/Zip:
_____________________________________________________________ Telephone:
_____________________________________