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University Outing Club

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Membership Application

NAME _____________________________________________________________

ADDRESS __________________________________________________________

CITY/STATE/ZIP _____________________________________________________

TELEPHONE _____________________ E-MAIL*___________________________
    *E-MAIL saves us postage when notices or reminders are needed

DUES _________$20 Individuals    ____________$30 Family

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    Clip out the above, Make check payable to: UNIVERSITY OUTING CLUB

    Mail to: Ruth Varney - Treasurer
                17 Hadler Drive
                Somerset, NJ 08873

For further information contact: hikeuoc@comcast.net
or call
Jean Romsted
732-247-0316
jromsted@rci.rutgers.edu

For a printable version of the form, Click here
(Printing this page not recommended)