Membership Form

Name:
Address:
City, State, Zip:
Phone:
Email:
PDGA# (if you have one)

Did you start playing in the last year? Yes No
Why are you deciding to join the Madison Area Disc Club?
Referred by a friend.
Other
Are you a registered MADC Forum user? Yes No
If yes, what is your user name?

	$10 -	New Membership – MADC Bag Tag only NO MADC hot stamp disc
	$15 -	New Membership – new members get a MADC hot stamp disc and MADC Bag Tag.
	$20 -	New Membership Upgrade– Get a Champion Plastic MADC hot stamp disc and MADC Bag Tag.

	$10 -	Renewal Membership – renewal members get the benefits above.
	$15 -	Renewal Plus – get a great-looking MADC hot stamp disc for only $5 more!
	$20 -	Renewal Membership Upgrade– Get a Champion Plastic MADC hot stamp disc.

	$10 -	Junior (under 16) – juniors get a MADC hot stamp disc and MADC Bag Tag.
	$15 -	Junior (under 16)Upgrade – Get a Champion Plastic MADC hot stamp disc and MADC Bag Tag.

	$30 -	Family Membership - Family membership includes a MADC hotstamped disc and MADC bag tag.
	$5 -	Additional $5 for each MADC Hotstamped disc for family members. Only available at time of sign-up.
	Please list all family members names included in MADC Family Membership. Please include ages for juniors.

$ Amount Enclosed

You can arrange to pick up your disc at club events or if you can not pick it up, add $4.00 for shipping.