Membership Application

Summerville Shag Club Membership Application

All Membership $20

Name_____________________________________________

Address___________________________________________

City______________________State_______Zip___________

Ph# Home ____________Cell____________Work__________

E-Mail Address______________________________________If not receiving emails now.

Summerville Shag Club encourages all members to support our club

Checks payable to:  Summerville Shag Club

Mail Application/Check to:

Summerville Shag CLub

100 Sawmill Drive,  Summerville, SC  29483

Date___________Member signature___________________________

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