Harrisburg Heat Booster Club Application

THE FLAME BEHIND THE HEAT
HARRISBURG HEAT BOOSTER CLUB APPLICATION 1998-99

Be a part of the excitement that is professional indoor soccer!

Join THE FLAME today!!!!

MEMBERS RECEIVE:

Membership period runs from Oct 1 1999 - Sept 30 2000

Name:____________________ Birthday:__________________

Address:____________________ Telephone # _______________

City: ____________________ State:_______ Zip:_________

E-MAIL Address (If applicable):__________________________

This application is for: _____ New Member _____ Renewal

Categories:

_____ Single - includes minor children. ($12.00)

_____ Family - two members, same household, including minor children.($20.00)

_____ Senior Citizen - single membership over age 65. ($5.00)

Make checks/Money orders payable to: The Flame

Mail Application and Payment to

The Flame
c/o Jerry Holtry
7 Liberty Drive
Mt Holly Springs, PA 17065