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Membership Application




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The Family of Saint Anthony – 310 3rd Ave, Ste C. – Jessup, PA 18434 – Ph: 570-815-7217


Make Checks Payable to

The Family of Saint Anthony

Mail to: The Family of Saint Anthony

310 3rd Ave, Ste C

Jessup, PA 18434


2014 Membership Application (thru Dec ‘14)

Dear Applicant,

Family Only (F-Only) membership dues are $10 per person per year and do not include membership in the St.

Ubaldo Society. Children under 18 are free.

Family and Society (F&S) membership dues are $20 per person per year, which includes your annual $10

membership into the St. Ubaldo Society. If you choose this option (also called a Full Member, we will fill out the

Society Membership card and forward your dues for you). If you are over 65, you can pay a one-time extra fee of

$15 to become a lifetime member of the St. Ubaldo Society. Children under 18 are free.

Your membership entitles you to all the privileges and benefits of the Family of Saint Anthony and helps to

preserve the great Eugubino tradition of The Race of the Saints (St. Ubaldo Day) in Jessup, PA. Although all are

welcome to attend the Family meetings and events, only adult Members are allowed to vote, and only Full (F&S)

members in good standing are allowed to participate in governance of The Family of St. Anthony (i.e., nominate

officers, run for office, vote for candidates for office, and hold office - including Capodieci).

Please fill out the application as completely as possible (one per home mailing address).

. Renewal Application . New Application

First and Last Name            Phone                         Email*                   Age  Runner?                         F&S/F-Only

____________________     __________          ________________          _____                                . $20 / $10

____________________      __________          ________________           _____                                . $20 / $10

____________________      __________          ________________           _____                               . $20 / $10

____________________      __________          ________________            _____                               . $20 / $10

Address ________________________                                         Calculate Dues $20 x ______ = ______ F & S

              ________________________                                                                   $10 x ______ = ______ F-Only

               ________________________                                                                 Total = ________________


I agree to abide by the Constitution and Bylaws of The Family of Saint Anthony and The St. Ubaldo Society and

understand all memberships must be approved by 2/3 vote of the Board.

_____________________                                  ______________________                                           __________

Print Name                                                                    Signature                                                                    Date


Thank you!

DO NOT WRITE IN THIS SPACE

Check No. Received _______ By _______ Amt. _______ Cash Rcvd. _______ By _______

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Saint Anthony,
Mar 13, 2014, 4:06 PM
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