


Name ________________________________________
Mailing Address ________________________________
City_________________, AL, Zip Code______________
Telephone Number(s)____________________________
Email Address__________________________________
Type of Membership □ Individual $25 Annual Dues
□ Family $30 Annual Dues
Family Memberships:
Please list the full name for each member of your family.
_____________________ _____________________
_____________________ _____________________
_____________________ _____________________
Make checks payable to Montgomery Auburn Club
Send annual dues and this form to:
Montgomery Auburn Club
P. O. Box 231
Montgomery, AL 36101
If you have any questions please email
info@montgomeryauburnclub.com
Please Print this page, fill in all information, and mail it with your check to the address below.
You can also pay through PayPal (please print page and mail to ensure that you are placed on our roster) by clicking here:
Select Family or Single Membership in the Drop Down Box