Elyria Browns Backers 

Chapter #335

Remit to:

Membership

777 Washington Avenue

Elyria, Ohio 44035

website: http://www.elyriabrownsbackers.com

e-mail: elyriabrownsbackers@yahoo.com

 
                                                                                                                                      

 

 

 

Membership Application

 

NAME                                    ____________________________________________________

ADDRESS                 ____________________________________________________

CITY                           _________________________          STATE            __________

ZIP CODE                  _________________________

HOME PHONE         _________________________

BUSINESS PHONE  _________________________

CELL PHONE           _________________________

 

E-MAIL ADDRESS  _________________________

 

Current Browns Backer Member                                            Yes      _______          No       ________

If yes, Membership number is:                                                ________________________________

 

Are you interested in participating in our various committees?            Yes      _______          No       ________

If  you answered yes, please indicate below which areas you can offer assistance.

 

Event Planning            _____              Pig Roast         _____              Away Game Travel     ______

Raffle Tickets             _____              Charities          _____              Membership                ______

Newsletters                 _____             

 

Conditions of membership:

Dues are $25.00 per year, payable by September 1st. I, as the undersigned member will not hold the Train Station or the Elyria Browns Backers organization liable for any incident. My behavior will be mature and responsible during all sponsored events I attend. I further understand membership in the Browns Backers organization merits behavior of the Cleveland Browns Backers worldwide and I will uphold those rules and regulations.

 

Signed _________________________________                  Date    ___________________________________

 

PLEASE SUBMIT APPLICATION WITH CHECK PAYABLE TO THE ELYRIA BROWNS BACKERS AT THE ADDRESS LISTED ABOVE.

 

Questions[1]?

 

E-Mail us at elyriabrownsbackers@yahoo.com



[1] REV A 2008 DWB