Manchester Wolves Fan Club 2006 Membership Application Date: _______________ ID #: _____________(administrative only) Name (last, first): ____________________________________________ Address: ________________________________________________________ Apt #: ______ City: ___________________________________ State/Prov: _______ Zip: ____________ Home Phone: (_____)_____________________ Work Phone: (_____)___________________ Email Address: ________________________________________________________________ Date of Birth (MM/DD/YYYY): _____/_____/_________ Are you a Season Ticket Holder? Yes _____ No _____ What is your seat location? Section ______ Row ______ Seat ______ Would you be interested in volunteering? Yes _____ No _____ If so, doing what? __________________________________________________________ If so, which committees would you be interested in? _____Membership _____Newsletter _____Fundraising _____Social _____Volunteer As a member of the Rabid Wolfpack, I agree to abide by the Constitution and Bylaws set forth by the fan club committee. Member's Signature:______________________________________Date:_____/_____/_____ To start your membership, return this completed form with your membership dues (check payable to "Manchester Wolves Fan Club") to: Manchester Wolves Fan Club Attn: Membership Director 2200 Front Street Manchester, NH 03102 2006 dues: - Adult (age 18 and older): $10 - Junior (ages 0-17): $5 - Family (two adults and two children): $25 (add $5 for each additional child)