Ski Mountaineers Section Angeles Chapter, Sierra Club Membership Application Name: _____________________________________________________ Street Address: ___________________________________________ CIty: _____________________________________________________ State: _____ Zip: ___________ Phone: H: _____________ W: ____________ Fax: ______________ E-mail address: ___________________________________________ 1. I am or have applied to be a Sierra Club member:___ Date of application or membership number: ______________ 2. I have subscribed to The Mugelnoos:____ 3. Skiing ability 4th Class or Better: Tour: __________________________________________________ Date: ____________ Leader: _____________________________ 4. Sponsored for Membership: Date: ____________ Sponsor: ____________________________ 5. Candidate's Signature: _________________________________ 6. Approved by the Central Committee: Date: ____________ Secretary: __________________________