BAY SHORE TUNA CLUB

** ANNUAL DUES * *

 

 

Adult Membership​$50.00 per Adult

Child Membership$10.00 per household

         (Child Membership = age 16 and under – must provide Date of Birth for each child)

DUES MUST BE PAID BY MARCH 9th 2015

TO BE ELIGIBLE FOR CLUB AWARDS

Please mail your membership payment and completed form with your correct mailing address,

     phone number, and e-mail to:  BSTC, 48 Maple Avenue, Bay Shore, NY 11706

                                   (Make all checks payable to: Bay Shore Tuna Club)

 

 

Adult Membership ______________________________________________ $50.00

 

 

Adult Membership ______________________________________________ $50.00

 

 

Adult Membership ______________________________________________ $50.00

 

 

Adult Membership ______________________________________________ $50.00

 

 

Child Membership ____________________________________Date of Birth __/__/__ $10.00

 

Child Membership ____________________________________Date of Birth __/__/__

 

 

Child Membership ____________________________________Date of Birth __/__/__

 

 

Mailing Address:  ______________________________________________________

 

                            ______________________________________________________

 

 

Phone Number: ______________________________  Cell Phone: ______________________

 

 

E-Mail Address:  ____________________________________________