Camp Eberhart Alumni Association
316 S. Eddy St. • South Bend, IN 46617 • 574.234.0069 • FAX 574.234.6414

Membership Application - 2012

The Alumni Dues have not been raised in over 6 years. Please keep that in mind when you donate or join. Our projects keep getting more and more expensive - so the need is great. But we truly appreciate anything you can give - as it will help future generations enjoy the place we call Camp EB!

Please print this application and mail with your contribution.

Name:

Maiden Name:

Address:

City, State, Zip:

Maiden Name:

Phone Number:

E-mail Address:

Years you were at camp:

Please check your choice:

[_] Student Dues = $25.00

[_] Minimum Dues = $40.00 - Thank You!

[_] Dues + Additional Contribution = $75.00 - Thank You!

[_] Generous Dues: $100.00

[_] Camp Really Made an Impression on My Life Dues: $200.00

[_] Other: $ ______________ Thank You So Very Much!

Send your contribution to:

Camp Eberhart Alumni Association, Inc.
316 South Eddy Street
South Bend, IN 46617

Thank you for joining the Camp Eberhart Alumni Association!