From: Subject: =?Windows-1252?Q?APPLICATION_FOR=A0_CAMPING_PERMIT?= Date: Sat, 19 Mar 2011 07:04:27 -0400 MIME-Version: 1.0 Content-Type: text/html; charset="Windows-1252" Content-Transfer-Encoding: quoted-printable Content-Location: file://C:\Documents and Settings\Chuck Parker\My Documents\MRC\CAMPING APP HTML.htm X-MimeOLE: Produced By Microsoft MimeOLE V6.00.2900.5994 APPLICATION FOR=A0 CAMPING PERMIT

          = =20 APPLICATION FOR
CAMPING PERMIT/=20 RENEWAL           =             &= nbsp;           &n= bsp;        =20 MAD RIVER CLUB=20 INC
           =             &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;            = ;            =             &= nbsp;          =20 FOUNDED 1894

DATE:=20 ______________________________       &= nbsp;           &n= bsp;           &nb= sp;      =20 PO BOX 171 =20
           &nb= sp;           &nbs= p;            = ;            =             &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;       =20 PULASKI, NY 13142 

MEMBERS NAME:=20 ______________________        &nb= sp;       =20

ADDRESS: _____________________________________=20
           &nb= sp;           &nbs= p;            = ;            =             &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;         =20 BADGE NUMBER_______ _______________________ZIP=20 CODE___________________________  

PHONE=20 NUMBER:_________________________________    =20 ___________           = SITE=20 NUMBER ______________

TYPE OF CAMP:=20 _________________________________________________________________
=             &= nbsp;           &n= bsp;           &nb= sp;           &nbs= p;            = ;      =20 (TENT, TRUCK, CAMPER, ETC)

MEMBERS OF
CAMP SITE:=20 _____________________________________________

REASON: ______ APPLICATION ______ RENEWAL

 

SIGNATURE: __________________________________ SIGNATURE: = ________________________________
     &nb= sp;           &nbs= p;            = ; =20 (CAMPING=20 CHAIRMAN)          &nbs= p;            = ;            =          =20 (MEMBER)