PENOBSCOT PADDLE & CHOWDER SOCIETY
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:
PO Box 268
Topsham, ME 04086
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.