Club Sanction Application and Renewal Form

Club Name _________________________________________

Club Representative ___________________________ ICORE No. ___________
Rep's Address _______________________________
                          _______________________________
                          _______________________________
Phone No. __________________________________
E-mail _____________________________________

ICORE Member Name ___________________________ ICORE No. ____________
ICORE Member Name ___________________________ ICORE No. ____________

Fees:
New Club - $50 per year
Club Renewal - $40 per year

Mail application and a check payable to ICORE Inc. to:
ICORE
P.O. Box 6898
Los Osos, CA 93412

Does your club have regularly scheduled matches or events that you want included on the ICORE web site and the Cylinder's Turn newsletter? Include details.

Event: ___________________________________________________________
Schedule: ________________________________________________________
Location: _________________________________________________________
Contact: __________________________________________________________
Phone: ___________________________________________________________
Email: ___________________________________________________________
Web site: _________________________________________________________

Event: ___________________________________________________________
Schedule: ________________________________________________________
Location: _________________________________________________________
Contact: __________________________________________________________
Phone: ___________________________________________________________
Email: ___________________________________________________________
Web site: _________________________________________________________

form last updated 17 October 2009