Highpointers Club Membership

Our basic membership is a family membership for an unlimited number of people at one address.  If you want more than one newsletter at the same address you will need to fill out separate applications.
Membership Type
___ New
___ Renewal
___ Returning
___ Gift	Membership (US)
___1 Year ($25)
___2 Years ($50)
___3 Years ($75)	Membership (Non-US)
___1 Year ($25)
___2 Years ($50)
___3 Years ($75)	

Name: ________________________     # of Highpoints Completed ________
Street Address:___________________________  
City:_______________________________    State:______________   Zip:_____________
Country:________________________________
Phone Contact (with area code):_____________       Email:__________________________
How did you hear about the club:______________________________________________
Other Comments:___________________________________________________________
Additional Highpointers 
Additional Highpointers	# of Highpoints	

		
(Copy additional sheet if there are more)
Complete this application and send with check or Money order made out to:
Highpointers Club
Ray/Jan Nelson
PO Box 5884
Sun City West, AZ 85376

Email:
membership@highpointers.org