Web-based Membership Application & Renewal Form

This application is your bill for membership dues. Please send it with your check, payable to PPCS, to our Club treasurer: 

Ron Chase
PO Box 268
Topsham, ME 04086
(207) 725-4342

Membership dues are a flat fee of $20 per year per household (family, individual, couple, etc.). Dues for high school and college students are $10 per year. Membership dues are the Club's major source of income. Please send application and dues by December 1st or bring them with you to the Fall Supper. Late submissions may not be printed in the Trip Book.


Other Family Members_____________________________________________

Mailing Address __________________________________________________

Town ______________________________State ________Zip _____________

Telephone _______________ E-mail __________________________________

_______Check here if the above information represents an addition and/or change to 
information published in last year's Trip Book.

Amount enclosed $__________________

Would you be interested in becoming involved in, leading, or assisting in any of the 
following Club-sponsored activities?

______ Canoe/kayak Trip Leader ______ Conservation
______ Ski Trip Leader ______ Newsletter
______ Other Trips (Suggestions?) ______ Assisting canoe/ski races
______ Picnic and Supper Programs ______ Other (Please specify):
______ Instructional Assistance ______________________________

Read, print and sign the
liability form and return both forms with your dues.