Coloma Pathfinders, Inc. Application
Complete the form, send to your printer, and mail with your check to the address at the bottom of this page. 
              Name: 

           Address: 

              City:     State:    Zip: 

             Phone:    # of machines: 

      
Membership:
                    1st Machine $20.00 
        Additional Machines $5.00 each 
                    Total check amount 

Dues include A.W.S.C. membership, which provides magazine, insurance benefit,
legislative voice, and all club mailings. Insurance includes spouses only.
The Pathfinders will register a parent and adult child,
but the AWSC will not cover both with insurance.
Print - Send your check to:
Coloma Pathfinders, Inc.
Sue Apps
P.O. Box 215
Coloma, WI 54930

Phone _____________________________

Email ______________________________

I want a sticker ____ Yes _____ No

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