Polar Bear Grand Tour
2013-2014 Membership
Registration Application












Name
Street
City
State
ZIP
Are you a NEW member? YES NO
Phone
E-Mail
AMA #
Club Name
Current Flight: A B
Join next year's "Member of the Week" club? YES NO

Please enter any comments you may have:

APPLICATION FEE:
AMA Members $18.00 if paid by August 15th
AMA Members $20.00 if paid after August 15th
Non AMA Members $20.00 if paid by August 15th
Non AMA Members $25.00 if paid after August 15th
Polar Bear "Member of the Week" fee $20.00

Please make all checks payable to: Polar Bear Grand Tour and send to:

Polar Bear Grand Tour
16 Elizabeth Street
Pemberton, NJ 08068-1116


Important: This form will be sent via E-mail to the Polar Bear Grand Tour.
You will receive a confirmation within a few seconds after submitting the form.

[ Back ]