Liberty Bell Wanderers
New Membership Application
Fill in the information below and mail with your Check for $10.00 (made out to Liberty Bell Wanderers) to:
Runhild Koestel - Membership Secretary
Liberty Bell Wanderers
171 So. Founders Court
Warrington, PA 18976
Name: ________________________________________________________
Address________________________________________________________
City, State, Zip________________________________________________
Phone #______________________________________
Single ________ or Family ________________
($10.00) ($10.00)
Received New Walker Kit: _______
Names of others in family: ____________________________________________________
__________________________________________________________________________
_____________________________________________________________________________
I am interested in: Holding Office ________ Helping at Events __________________
Planning Events ____________________