2012 Poco Farm Road
570-322-8384
Please
print this application & mail to:
WRC attn: Becky Crossley
2012 Poco Farm Road
Name______________________________________
Address_____________________________________
______________________________________
Phone
________________________________________
E-Mail
address_____________________________________
Membership Type: circle one
–> Family $25
Individual $15
If this is a Family Membership
please list all immediate family members names:
_____________________________________
________________________________________________________________________________________________
Interested in Volunteering-- concession stand Ring Crew Rodeo Registration booth
Work days other____________
Comments__________________________________________________
___________________________________________________
____________________________________________________
___________________________________________________
____________________________________________________
