WEST POINT PARENTS CLUB (WPPC) GULF COAST OF FLORIDA
MEMBERSHIP REGISTRATION FORM
(Please print, fill out and mail to the address indicated below)
Last Name: ____________________________________________________________________
First Name(s): ____________________________and___________________________________
Mailing Address:_________________________________________________________________
______________________________________________________________________________
Email Address: _______________________________Telephone:__________________________
Cadet’s Name: _________________________________________________Class of:__________
Cadet’s Date of Birth: ____________________Cadet’s Company:__________________________
Enclose your check, made payable to West Point Parents Club in the amount of $30.00 for each family
membership and $20.00 for each associate membership, and mail to Larry & Jan Brown, 7055 Silvermill Dr, Tampa, FL, 33635. If you wish to receive a discount by paying in advance for all four years, the rate is $100.00 for regular membership and $60.00 for associate.
AN ASSOCIATE MEMBERSHIP IS A GREAT FIRST FOR THE GRANDPARENTS OR
THAT SPECIAL UNCLE, AUNT OR OTHER FAMILY MEMBER! Associate members receive
the Newsletter and are invited to attend all Club functions.
Associate Member’s Name:________________________________________________________
Mailing Address: ________________________________________________________________
_________________________________________Email Address: _________________________
I/we are willing to serve in the following capacities, if requested:
_____Any capacity requested _____Calling Captain _____Club Historian
_____Special Event Coordinator _____Plebe Handbook Editor _____Web Master
_____Firstie Handbook Editor _____Newsletter Editor _____Club Officer
_____Other (specify):_________________________________________________________
In submitting this application you are consenting to have the information herein used for Club purposes such as
rosters, newsletters, and the Club web site. Information will not knowingly be used for commercial purposes;
however, access to club publications and web pages is not controlled and may become available to others
without Club knowledge.