Pioneer Valley Hiking Club Membership Application

JOIN THE CLUB!

Individual Membership . . . . . . .($25) . . . . . . . $ ___________
Family Membership . . . . . . . . . ($40) . . . . . . . $ ___________
Student Membership . . . . . . ....($15) . . . . . . . $ ___________

Return this form (with check payable to Pioneer Valley Hiking Club) to:

PVHC Membership
c/o Wilderness Experiences Unlimited
PO Box 265
Southwick, MA 01077

Date: ___________
Name: ________________________
Address:_______________________________________
Phone#: ______________________
E-mail Address: (Optional) ______________________

Check here if you would like your information added to the club directory (published yearly in December)

My favorite hiking areas are:_____________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
____ I am willing to lead hikes
____ I am willing to perform trail maintenance
Topics I would like to see presented at PVHC's monthly meetings are:
___________________________________________________________________________
I could present/arrange for a clinic/program for PVHC's monthly meetings on: ___________________________________________________________________________
It is the club's policy that all information will be collected for club use only. All personal member information is confidential, unless a club member voluntarily releases that information to other club members.

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