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: __________________________