SO YOU WANT TO JOIN...

Our annual dues are $20.00 for an individual and $25.00 for a family (related and living in the same household).  If you want more information feel free to call one of the officers. Once you have decided to join us, send your check or money order made out to "Bohemia Track Club" along with the following form to our membership person:

Estella Clasen

3 Cedar Street

Bellport, NY 11713

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NAME(s)____________________________________________________

STREET_____________________________________________________

CITY, STATE, ZIP___________________________________________

DATE(s) OF BIRTH_____________________   PHONE______________

MALE or FEMALE (circle one)

DUES ENCLOSED: $20.00 INDIVIDUAL ______

               $25.00 FAMILY     ______

DATE_________________