San Diego County Rockhoppers

Membership Application and Renewal Form

Membership Benefits:

· A patch for new members

· A membership card

· A subscription to the club newsletter

· Pre-registration rate/fee for walks even if you don’t pre-register

Last Name ___________________ First Name _____________________

Last Name ___________________ First Name _____________________

Last Name ___________________ First Name _____________________

Last Name ___________________ First Name _____________________

Street Address _______________________________________________

City ___________________________ State _______ Zip Code ________

Phone Number ( ) __________

Email Address ________________________________________________

[ ] New Application [ ] Renewal

[ ] Individual Membership ($10.00 per person)

[ ] Family Membership ($15 per family)

Total amount enclosed $ _____

Makes checks to The San Diego County Rockhoppers

[ ] I am interested in helping the club put on events. Please consider me for:

[ ] Helping at the start table at a walk [ ] Helping at a walk check point

[ ] Helping to prepare event brochures [ ] Helping to distribute event brochures

[ ] Helping to design event awards [ ] Helping to lay out a walking route

[ ] Other ___________________________________________________

Send Completed Form To:

San Diego County Rockhoppers

c/o Noby Sederholm

2592 Daily Drive

Fallbrook, CA 92028