MEMBERSHIP APPLICATION For the Sept. 1, 2005 - Aug. 31, 2006 Season
Individual $30		Family $45 (Family members must reside within the same dwelling.)
Send completed form and check or checks payable to Double Diamond Ski Club to: KeySpan 175 Old Country Rd. Hicksville, NY 11801 Attention: Thomas Ladonne Please include a self-addressed, stamped envelope if you want your membership card mailed to you.
Name:		H Phone
Address:		W Phone:
Town:		State/Zip:
E-mail:		Signature:
The Double Diamond Ski Club assumes no responsibility or liability for any accidents or injuries incurred in connection with any club event or activity, nor do the Double Diamond Ski Club officers assume any responsibility or liability for any accidents or injuries incurred in connection with any club event or activity. The Double Diamond Ski Club encourages all of its members to ski in control at all times and to ski responsibly.
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Name:		H Phone
Address:		W Phone:
Town:		State/Zip:
E-mail:		Signature:
The Double Diamond Ski Club assumes no responsibility or liability for any accidents or injuries incurred in connection with any club event or activity, nor do the Double Diamond Ski Club officers assume any responsibility or liability for any accidents or injuries incurred in connection with any club event or activity. The Double Diamond Ski Club encourages all of its members to ski in control at all times and to ski responsibly.
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Name:		H Phone
Address:		W Phone:
Town:		State/Zip:
E-mail:		Signature:
The Double Diamond Ski Club assumes no responsibility or liability for any accidents or injuries incurred in connection with any club event or activity, nor do the Double Diamond Ski Club officers assume any responsibility or liability for any accidents or injuries incurred in connection with any club event or activity. The Double Diamond Ski Club encourages all of its members to ski in control at all times and to ski responsibly.
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Name:		H Phone
Address:		W Phone:
Town:		State/Zip:
E-mail:		Signature:
The Double Diamond Ski Club assumes no responsibility or liability for any accidents or injuries incurred in connection with any club event or activity, nor do the Double Diamond Ski Club officers assume any responsibility or liability for any accidents or injuries incurred in connection with any club event or activity. The Double Diamond Ski Club encourages all of its members to ski in control at all times and to ski responsibly.
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Name:		H Phone
Address:		W Phone:
Town:		State/Zip:
E-mail:		Signature:
The Double Diamond Ski Club assumes no responsibility or liability for any accidents or injuries incurred in connection with any club event or activity, nor do the Double Diamond Ski Club officers assume any responsibility or liability for any accidents or injuries incurred in connection with any club event or activity. The Double Diamond Ski Club encourages all of its members to ski in control at all times and to ski responsibly.
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