MEMBERSHIP APPLICATION 2011 - 2012

CHOOSE DESIRED MEMBERSHIP CATEGORY

AMOUNT ENCLOSED ______________________

MAKE CHECK PAYABLE TO: CENTER ICE CLUB

PLEASE PRINT AND MAIL TO:

  CENTER ICE CLUB

          PO BOX 105

  ST. CLOUD, MN 56302

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MEMBERSHIP

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$50 FAMILY MEMBERSHIP

$75 MEMBERSHIP PLUS

$175 MEMBERSHIP PLUS II

$25 ALUMNI MEMBERSHIP (Hockey team alumni only)

$30 INDIVIDUAL