I hereby apply for membership in the WPOC.  I understand that membership entitles me to a discount in membership dues in the United States Orienteering Federation; I also understand that WPOC dues support the club's activities of putting on orienteering events in Western Pennsylvania.

PLEASE PRINT

Name __________________________________         Phone ___________________

Address ________________________________         E-mail ___________________

               _________________________________

Dues are $10 for an individual, $15 for a family, and $5 for a junior.  Membership expires annually in January.  Send this form with a check made payable to WPOC to

WPOC
c/o Stephanie Martineau,
812 St. James Street
Pittsburgh, PA  15232