DELAWARE 500 CLUB

RENEWAL MEMBERSHIP FORM

2006/07

ANNUAL FEE: $5.00

NAME: PHONE:

ADDRESS:

CITY: STATE: ZIP:

DELAWARE 500 CLUB #: USBC #

BOWLER’S SIGNATURE:

RETURN FORM TO: KAY GROCHOWSKI

DELAWARE 500 CLUB

80 E. MILL POND DRIVE

SELBYVILLE, DE 19975

302-436-9931

Make checks payable to DELAWARE 500 CLUB. Dues are due on

October 1. Dues must be paid in order to bowl in any Delaware 500 tournament.

------------------------------------------------------------------------------------------------------------------------------

DELAWARE 500 CLUB

RENEWAL MEMBERSHIP FORM

2006/07

ANNUAL FEE: $5.00

NAME: PHONE:

ADDRESS:

CITY: STATE: ZIP:

DELAWARE 500 CLUB #: USBC#

BOWLER’S SIGNATURE:

RETURN FORM TO: KAY GROCHOWSKI

DELAWARE 500 CLUB

80 E MILL POND DRIVE

SELBYVILLE DE 19975

302-436-9931

Make checks payable to DELAWARE 500 CLUB. Dues are due on October 1. Dues must be paid in order to bowl in any Delaware 500 tournament.