Panhandle Nordic Club Membership Application

Dues are $15.00 per household
Print this application or otherwise provide the following information:

Name: ____________________________________________________

Phone number(s): ____________________________________________

Address: ___________________________________________________

__________________________________________________________

Email address: _______________________________________________

Make checks payable to Panhandle Nordic Club.

Mail to: Bea Christopherson, 2165 S Greensferry, Coeur d'Alene, ID 83814

Club website: www.panhandlenordicclub.com.