PanhandleSeminoles.com  
 

MEMBERSHIP APPLICATION

If you would like to become a dues paying member it costs $15 per year, family or single. Please complete and return the application and mail your check to the PO Box. If you just want to be notified of Club events complete and return the on-line application.  

Please fill out this Membership Information Sheet completely.

Your Name:
Address:
City:
State:
Zip:
E-mail Address:
Phone:
Pledge Amount?
Comments or questions?


Please check over your information and submit.

Mail check to
Panhandle Seminole Club
PO Box 645
Marianna, Fl. 32447

Be sure and include your address with the check.