2010-11 SOUTH ANCHORAGE BOYS BASKETBALL BOOSTER CLUB  Print this page

MEMBERSHIP  FORM

Name(s): _______________________________________________________________ 

Address:  ______________________________________________  Zip:  ____________ 

Home Telephone:  _______________  Work:  _______________  Mobile:  ___________ 

Supporting South Player #1:  _________________________  Graduation Year: _______ 

Supporting South Player #2:  _________________________  Graduation Year: _______  

Supporting South Player #3:  _________________________  Graduation Year: _______ 

I/we are:  _____                      Parents    _____Grandparents    _____Friends    _____Business member 

SEND NEWSLETTERS AND NOTICES TO THE FOLLOWING EMAIL ADDRESS(ES): 

Name #1:  ________________________________  Email:  _______________________  

Name #2:  ________________________________  Email:  _______________________ 

Name #3:  ________________________________  Email:  _______________________ 

________ "Silent Support" (yes to membership, but no email notices, please) 

MEMBERSHIP DETAILS 

_____ 2010-2011 Membership Dues: $20.00 per person 

_____  Please also accept my donation of $ _______ for additional support. 

Please forward a membership form to the following potential South Anchorage Boys Basketball supporter(s) who may like to join (additional family members/friends/business members.  Out-of-state members welcome!): 

Name:  __________________  Address:  __________________________  Zip:  _______ 

Name:  __________________  Address:  __________________________  Zip:  _______ 

MAKE CHECKS PAYABLE TO: "SABBBC"