CROSSROADS SINGLES

CROSSROADS MEMBERSHIP FORM
There is a membership fee for Crossroads. 

Forward an $8 check to cover costs for our newsletter for the upcoming year. 

Please fill out this renewal form and mail with your check. 

To guarantee your copy of the newsletter, please RENEW PROMPTLY. 

Expiration dates are found on the corner of your mailing label. 
Make checks payable to Crossroads and mail to:  
    Crossroads
     P.O. Box 0462
     Lancaster, NY 14086-0462  (Questions, call Waudell 835-1871)

MEMBERSHIP FORM 
                                                               

Name        _________________________________________________________

Address     _________________________________________________________

City          ________________________State____________ Zip_______________

Phone       __________________Parish (optional)__________________________

E-Mail (optional)_____________________________________________________

Please check one:  Renewal_____     New Member_____     Change of address_____