JUMPERS OVER EIGHTY SOCIETY - JOES

NAME:

Application date: ___________________

POPS/SOS/JOS #: ________________

 

Send Life-time membership fee:$10.00

To:

Cheryl Whitford, JOES Administrator

151 S. Western Avenue

Aurora, IL 60506-4617 USA

 

uspops-web@earthlink.net

 

For office use only: JOES# _____________

Membership date:____________________

Dues Paid:$ ________________________

Address:

City:

State/Province:

Country& Postal Code:

E-mail address:

DATE OF BIRTH:

NUMBER OF JUMPS: