SWING

Please fill out the form below, print, sign and mail it with your check payable to SWING to:
SWING, P.O. Box 225, Whitman, MA 02382. Questions email: Karen Christoforo

$75 Individual Membership
$120 Joint Membership (2 in home)
$65 Mature Membership (over 55)
$5 TRIAL MEMBERSHIP --- After one event if I decide to join SWING I will deduct the $5 Trial Membership Fee from the regular membership fee listed above.

Member 1		Member 2 (if applicable)
First Name		First Name
Last Name		Last Name
Street		Street
City/Town		City/Town
State		State
Zip		Zip
Home Phone		Home Phone
Work Phone		Work Phone
Profession		Profession
D.O.B		D.O.B
Avg score on a par 72 course?		Avg score on a par 72 course?
Email		Email 2
How did you hear about SWING?
By signing this application form, I agree that I will not hold Imagineer, Inc., SWING, Mary E. Porter, Karen Christoforo or any employee or officer of Imagineer, Inc. responsible in any way for accidents or injuries which may occur while participating in a SWING event.		Signature #1______________________ Dated: ______________________ Signature #2______________________ Dated: ______________________