Application

 

Name: ____________________________________________________

Home Address: _____________________________________________

City:  ________________________ State:  _____  Zip: _____________

Home Phone: __________________  Cell Phone: __________________ 

E-Mail Address: ____________________________________________ 

Florida Address: ____________________________________________

 City: ________________________                         Zip: _____________ 

Area of carving interest: ______________________________________

___________________________________________________________

Date: ______________          Signature: __________________________

Do you have any other Carving Club Affiliations?  If so, please list them

to the right!  Thank you for completing this application.

The cost of membership for each year is twenty-five dollars

($25.00) per person.  Please do not send cash – please

pay in the form of a check or money order.  Thank you!

 Dues due anytime after October 1^st

Please print and mail this completed application and dues to: 

Caloosa Carvers

c/o Jim Hausler

15476 Nelson's Walk Court

N. Ft. Myers, FL 33917