Standard membership form

To join the Maine Chapter AMC for the first time or to renew your membership, print this page and fill in the form. Make your check payable to Appalachian Mountain Club and send it to Membership Mailing Address. PLEASE NOTE: Fields with an asterisk are required to process your application.

AMC Maine Chapter
Ben Smith
105 New Gloucester Road
No. Yarmouth, ME 04097
207-829-8076

I/we would like a membership in the Appalachian Mountain Club:
*Name(s) _________________________________________
________________________________________________
*Address __________________________________________
*City ____________________ *State _____ *Zip Code _____
Home Phone _____________________________________
Work Phone ______________________________________
E-Mail Address __________________________________
Renewing?, *Member Number ________________________

I have checked the membership options I want below:

$50.00 - Individual
$75.00 - Family (2 or more)
$25.00 - Junior/Senior (Under 23/Over 69)

$ __________ ADD for Contribution to:

$ __________ TOTAL enclosed with my check (Sorry, no credit cards)

Maine Chapter AMC MEMBERSHIP APPLICATION

Maine Chapter AMC
MEMBERSHIP APPLICATION