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Sharing your interests & finding new friends in San Antonio |
Address________________________________________________________
City, State, Zip__________________________________________________
Home Phone ________________ Cellphone ________________ Pager ________________
Primary Contact Number [ ] Home Phone [ ] Cellphone [ ] Pager
E-Mail Address_________________________________________________
Date of Birth___________________________________________________
How did you hear about us?_______________________________________
Personal Website _______________________________________________
Comments_____________________________________________________
______________________________________________________________
May we send you e-mail?
Yes ____ No ____
May we send you postal mail?
Yes ____ No ____
May we print your full name in the newsletter?
Yes ____ No ____
Would you like your name in the member roster? (Only other active members can see this information)?
Yes ____ No ____
Would you like your picture on the web site?
Yes ____ No ____
May we call you concerning upcoming activities?
Yes ____ No ____
Do you have a Bartending Certificate?
Yes ____ No ____
Membership Type: Full Member ___ Associate Member ___
Amount: $________
By signing this form, I hereby certify that I have read and understood the bylaws
of the Bears of San Antonio (BoSA), and that I agree to abide by those bylaws.
I also release BoSA, its officers and its members from any claims for
damages or injury that I may sustain at any activity sponsored by the
club or in which the club is participating. Members shall keep any
published personal or identifying information as confidential and shall
not release any such published information outside of BoSA.
Signature ____________________________________ Date ___________