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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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