American Youth Hostels Membership Application
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 Instructions:

  1. Print this application.
  2. Fill out application with all applicable information.
  3. Make check or money order payable to LIMA COUNCIL, AYH.
  4. Mail application and payment to: LIMA COUNCIL, AYH, PO BOX 173, LIMA, OH 45802.
Name:
Address:
City: State: Zip Code:
Phone:   (           )                 Birthdate:                 /             /

New [   ]     Renewal [   ]

Annual Membership is valid for 12 months from the end of purchase month. Renewal must be purchased within 3 months of expiration. Supporting & Sustaining Member fees are partially tax deductible. Donations are fully tax deductible.

Membership Type
(includes AYH Handbook & Road Runner newsletter)

Fee

Total
Adult

$ 28

           
Youth (17 and younger)

FREE

  
Senior (55 and older)

$18

  
Life

$ 250

  
Supporting

$ 50

  
Sustaining

$ 100

  

Additional Items

    
Nylon or Cotton Sheet Sleep Sack (**)
** Most International and AYH-Hostels require the use of a sheet sleep sack.

$ 13

  

If we're mailing you the Sleep Sack, add postage.

$ 2

  
International Handbook, Vol. 1 or Vol. 2

$ 11

  

If we're mailing you the Intl. Handbook, add postage.

$ 2

  
Non-Members: Road Runner quarterly newsletter (1 yr.)

$ 3

  
 
Donation to American Youth Hostels, Inc.  
 
TOTAL (Fees, costs, & postage)

 $

Thank you for your support!