Somewhere in Time, Unlimited - 2018 Membership Form for NEW Members

Please read entire form

Membership dues are $20 per household for calendar year 2018, for up to two adults (member and associate member), and children under the age of 18, in the same household. Membership for one year includes periodic notification of SITU and other events, the membership directory and member prices at all2018 SITU events. To become a member in SITU for 2017, please complete and submit this membership form & pay the $20 membership dues.

How did you find us? What did you Google?
Member:
Associate member (if any):
Address:
City, State, Zip:
Primary Phone:
Additional Phone:
Primary Email address:
Additional Email address:
Web site:
Neighborhood:

(We ask for your neighborhood to assist in car pooling among members.)

This information is only for communication between the members, such as arranging carpools or mutual activities. No one is allowed to share this information with any other group or individual outside the membership.

Somewhere in Time, Unlimited, (SITU) is a social and educational organization in which members and guests participate at their own risk. Activities, such as dancing or games, involve physical movement which can result in injury. Often, food is prepared in home kitchens. Board members are volunteers who serve without compensation. SITU has no assets beyond a modest bank account. Anyone who participates in events organized by SITU members does so accepting responsibility for their own well being and holds board members and event producers harmless for any injury or accident that may occur.

Check box if you have read and agree to the boxed statement above.

Membership dues can be paid by check or by PayPal. Please indicate below which method you are using:

If you are paying by PayPal, then please complete your New MemberFormand forward it to SITUby saving it to your desktop, and then attaching it as an exhibit in an email. Please send to:

If you prefer, please complete this form online, print it out and send by USMail to:

SITU / If you print this form and complete it by hand,
please print very clearly.
PO Box 16411
Seattle, WA 98116

If you are paying by personal check, make your check for $20 payable to Somewhere in Time, Unlimited (SITU),put “SITU 2017 Dues” in the memo line of the check mail your check and a copy of this completed form to:

SITU

PO Box 16411

Seattle, WA 98116

If you have any questions, please contact

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