2012 Poco Farm Road
570-322-8384
2009 Membership Application
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 $30
Individual $20
Membership fees were
increased effective 1/1/09. Since it was not changed on the website all
applications postmarked prior to 4-17-09 will be old prices.
Current fees effective 4-17-09.
If this is a Family
Membership please list all immediate family members names:
_____________________________________
________________________________________________________________________________________________
Interested in Volunteering-- Ring Crew Registration booth Specific Show
Work days other____________
Comments__________________________________________________
___________________________________________________
____________________________________________________
___________________________________________________
____________________________________________________
