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Membership Application
PLEASE READ THIS PAGE BEFORE YOU COMPLETE YOUR NEW OR RENEWAL APPLICATION
**PLEASE NOTE** THE APPLICATION IS NOW A PDF FORM THAT YOU CAN TYPE INFORMATION INTO AND THEN PRINT FOR SIGNATURE.
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1. EACH person must complete (please print or electronically enter) and hand-sign an individual
application. NOTE --- Each member under the age of eighteen (18) must also have the application countersigned by a parent or legal guardian. Those unable to sign personally must have a parent/legal guardian initial the applicant’s signature line and countersign the application.
2. DUES for 2016 - 2017, payable in U.S. dollars, to DEVILS FAN CLUB, INC. are: A. ADULT MEMBERSHIP $20.00.
1. Adult Member shall be eighteen (18) years of age or older at the time of application.
B. JUNIOR MEMBERSHIP (NON-VOTING) $15.00.
1. A Junior Member shall be under the age of eighteen (18) years at the time of application.
The application of a Junior Member must be countersigned by a parent or legal guardian. 2. A Junior Member shall be required to be accompanied by one (1) parent or adult guardian to all
DFC functions. Parent or guardian must also be a DFC member. 3. A Junior Member is NOT a voting member for the election of DFC officers or affairs.
Junior Members shall be permitted to vote for player of the month and rookie of the year.
C. FAMILY MEMBERSHIP $50.00.
1. A Family Membership shall be afforded at the time of application to a maximum of two (2) Adult
Members and any number of Junior Members residing at the same address. 2. Each Family Member will receive a membership card, but only one (1) newsletter shall be mailed or emailed to a Family Membership. 3. Any restrictions which apply to Junior Members enrolled individually shall also apply to each
Junior Member enrolled under a Family Membership.
PLEASE DO NOT MAIL CASH!
Remittance from non-U.S. residents must be in U.S. dollars and must be by Postal Money Order or personal check, payable on a U.S. Bank. If you request a copy of the Constitution and Bylaws, it will be mailed to you. Please include an additional $5.00 (postage & handling) with your dues for each copy requested.
Only one (1) name per application unless a FAMILY membership MEMBERSHIP EXPIRES JUNE 30, 2017 2016 - 2017
DUES: Adult $20.00 ______ ; Junior $15.00 ______ ; Family $50.00 ______ (2 adults maximum)
LAST FIRST M.I. MM DD YYYY
ADDRESS: _______________________________________________________________ APT: __________
/ FL: __________
CITY: ___________________________________________ STATE / PROV: _____________ ZIP: ___________
COUNTRY: _________________________ HOME PHONE: (_______) _________________________
E-MAIL ADDRESS FOR NEWSLETTER AND OTHER COMMUNICATIONS: _________________________________________
PARENT’S SIGNATURE: ________________________________________________________ REQUIRED IF ANY APPLICANT IS UNDER THE AGE OF 18
If there is another DFC member at the same address and you DO NOT want to receive a newsletter, check here [___] If this is a FAMILY Membership, please list names, birth dates and signatures of all other Family members being enrolled:
IF YOU NEED TO ADD MORE FAMILY MEMBERS, PLEASE MAKE PHOTOCOPY OF THIS FORM
1. Were you a Devils Fan Club member during the 2014-2015 or 2015-2016 seasons? YES [___] NO [___] 2. Would you like a copy of the Devils Fan Club Constitution & Bylaws? YES [___] NO [___]
Please add $5.00 (postage & handling) to your dues for each copy to be mailed.
3. If you are interested in working on a DFC Committee, please check the appropriate box(s):
[__] Special Events [__] Trips [__] Charities [__] Hospitality [__] Game Night Table [__] Web Site [__] Newsletter [__] Financial Review [__] Amateur Hockey [___] Bylaws [___] NHLBC Convention
4. Are you a SEASON TICKET HOLDER? YES [___] NO [___] ----------------------------------------------------------------------------------------------------------------------------------------------------------------------
RETURN THIS APPLICATION, WITH THE APPROPRIATE DUES TO: DEVILS FAN CLUB, INC. ATTENTION: MEMBERSHIP SECRETARY 25 LAFAYETTE STREET, NEWARK, NJ 07102-3611 MAKE CHECKS / MONEY ORDERS PAYABLE TO: DEVILS FAN CLUB, INC. U.S. FUNDS ONLY DO NOT MAIL CASH Web site: www.devilsfanclub.org Facebook: Devils Fan Club, Inc. --------------------------------------------------------------- FOR FAN CLUB USE ONLY --------------------------------------------------------
ENTRY DATE AMT. RECEIVED CASH CHECK # MONEY ORDER # MEMBERSHIP # NEWSLETTER Volume No.: 35 issue #:
