TONY ROCKER FAN CLUB MEMBERSHIP

2008

__________________________________________________________

Last Name                            First Name

__________________________________________________________

Last Name                            First Name

________________________________________________                 ______________________________

Address                                                                                                        Home Phone (include area code) 

__________________________________________________                 ______________________________

City                                                     State              Zip                              Work Phone (include area code)

________________________________________________                   ______________________________

E-Mail Address                                                                                            Cell Phone (include area code)

Single Membership is $20. a year.

Couples’ Membership is $35. a year (a couple must reside at the same address).

Family Membership is $45. a year (Maximum of 5 members all residing at same address).

List other family members on the bottom of this form.

To join, please fill out the membership form and make check payable to Tony Rocker Fan Club.  Send to Barb McEvilly, 4214 Drexel Ave., Madison, WI  53716.  Any questions,  call Barb at 608-221-0693 or

e-mail  rockerfanclub@aol.com or bmcevilly@charter.net.

For Family Membership Only:

  3.   _______________________________________

        Last Name                                  First Name

4.      ________________________________________

Last Name                                  First Name

 5.  ________________________________________

        Last Name                                  First Name

  COMMENTS:       How did you find out about the Fan Club?

MEMBERSHIP BENEFITS INCLUDE:

·        A Membership Certificate

·        An 8 x 10 photo of Tony only available to members

·        A single, couple or family membership will entitle you to one packet and one 8x10 photo.  If you each wish your own photo, then you need to sign up individually.

·        Membership newsletters mailed to your house

·        An annual fan appreciation party open only to members in the fall of 2008 Entertainment provided by Tony Rocker & The Comeback Special.             

·        A fun way to interact with and meet other Tony Rocker fans and share the love of Elvis music

THE COST IS:

·        Single Membership is $20. a year.

·        Couple’s Membership is $35. a year (a couple must reside at the same address).

·        Family Membership is $45. a year (maximum of 5 members, all must reside at same address).

To join, please fill out the attached membership form and make check payable to Tony Rocker Fan Club.  Send to Barb McEvilly, 4214 Drexel Ave., Madison, WI.  53716.  Any questions, call Barb at 608-221-0693 or e-mail rockerfanclub@aol.com or bmcevilly@charter.net.

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RECEIPT

I acknowledge receipt of the sum of ____________ paid by cash/check.

This payment constitutes full payment to be applied for membership to the Tony Rocker Fan Club for the year of 2008.

Date:  _______________________

Name:  _______________________________