Renewal of Membership Form - copy this form and paste it on a blank document then print.

Adventurers' Club Membership Renewal Form

Member Name: ________________________________________________

Address:  _____________________________________________________

Address (2)___________________________________________________

City, State and Zip_______________________________________________

Telephone:___________________________  Cell: _____________________

E-Mail Address:  ________________________________________________

   
Spouse name ____________________________________________________
   
     Telephone__________________________  Cell:  _____________________

     E-Mail Address:  _______________________________________________

Annual Dues
 (Must be received by 31 January to be included in the Membership Roster for that year and the current Newsletter mailing list)
         
Full membership ........ ……..………………$37.50
Spouse Membership…..........................……$20.00
Non-resident membership………  ……….. $22.00
     
                      Total Enclosed: ___________________

Please send completed 1) renewal form, and 2) cheque payable to "Adventurers' Club" by 31 Jan, to
   Janet M. Miller, Membership Chair Adventurers' Club of Honolulu
   2665 Peter St.
   Honolulu, HI  96816-2013

You can reach Janet at (808) 732-3506; cell (808) 358-9775;    email    miller@hi808.us