Adventurers' Club Membership Renewal Form
NOTE: IF no changes, please write "NO CHANGES" across form, and return with your payment.
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 ........ ……..……………....$40.00
Spouse Membership…..........................……$25.00Non-resident membership……… ……….. $25.00
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; email miller@hi808.us
