SOUTHERN
		MICHIGAN
			ORIENTEERING
				CLUB

Membership Application

Check as appropriate:

New member        Renewal        Address Change       

Individual $15        Family $25        Troop $25       

  Contribution to Map Fund:  $______________

      Total enclosed:  $______________

  I am interested in volunteering to help with club activities. (No experience needed!)

Date ____________________

Name _________________________________________________________

Address _______________________________________________________

City ___________________________________________  State __________

Zip _____________________

Telephone ___________________________________

E-Mail ______________________________________

Are you a member of the United States Orienteering Federation (USOF)?    Yes        No  

Send the completed application and check payable to SMOC to:

          SMOC Treasurer
          401 Tanahill
          Dearborn, MI 48124

SMOC home page

Modified August 30, 2007, by Robert Messer.