OUTDOOR ADVENTURES KLUB OF SOUTH FLORIDA (OAK)
MEMBERSHIP APPLICATION OR INFORMATION FORM TO RECEIVE NEWSLETTER
NAME: __________________________________BEEPER/PAGER #________________
HOME ADDRESS:
STREET ADDRESS______________________________________
CITY_________________________________STATE_____________ZIP___________
TELEPHONE_____________________MOBILE/CELL PHONE # ______________________
HOME E-MAIL:_____________________________FAX__________________
WORK: COMPANY NAME(OPTIONAL)______________________________________
WORK ADDRESS: STREET ADDRESS_____________________________________
CITY_________________________________STATE_____________ZIP___________
TELEPHONE_____________________E-MAIL_______________________________
#####################################################################
IN EMERGENCY, NOTIFY:_______________________________________________
_____________________________________________________________________
OUTDOOR RECREATIONAL ACTIVITIES YOU ENJOY:________________________
************************************************************************
OUTINGS, FUNCTIONS, ACTIVITIES, EVENTS YOU WOULD LIKE OAK TO ORGANIZE:
______________________ ______________________ ________________
OUTINGS, FUNCTIONS, ACTIVITIES, EVENTS YOU WOULD LIKE TO LEAD:
______________________ ______________________ ________________
PEOPLE YOU WOULD LIKE US TO CONTACT TO JOIN AND/OR PARTICIPATE:
_____________________________________________________________________
_____________________________________________________________________
HOW DID YOU HEAR OF OAK?___________________________________________
_____________________________________________________________________
COMMENTS:__________________________________________________________
MAIL TO: Outdoor Adventures Klub - 5521 Polk Street - Hollywood, FL 33021
ANNUAL DUES: $30.00 Klub Telephone: 954-966-2152