Print, fill out and send membership application:

Pocono Kite Symphony Membership Application

 Name:__________________________________________________

Phone:_____________________

Address:________________________________________________

 E-mail______________________

 City:____________________________________________________State_________Zip:____________

 Single Membership $15.00/yr. (one vote)          Family Membership $25.00/yr. (two votes)

INTERESTS:                                                                                                                                

Single Line:______                                           Mail completed application with check to:        

Multi Line:_______                                          Pocono Kite Symphony

Line Laundry:_____                                         189 Analomink Street

 Banners:_________                                         East Stroudsburg, Pa. 18301

 Newsletters:______

 Sewing:__________                                        Contact: Andy Gelinas at andy@poconokitesymphony.com

 Kids Kite Building:______                               E-mail: andy@poconokitesymphony.com

Other:_________________