New Member Signup Request

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WELCOME!
There are just a few things you need to do before you can join our exciting club.
Section 1 #1. Read the "RELEASE OF LIABILITY"
Section 1 #2. If you agree to these terms then enter a check mark in the box. This is a legal document and by checking the box you are agreeing to our liability terms. A copy of the your agreement will be emailed to you. Thank You!

Section 2 Personal Information, This is for our use only.

Section 3 About you, This will help us to get to know you a little better

When you have completed this form Please Mail payment to
RHPC Treasurer

12239 E Carter Rd

Bloomfield, IN 47424

Or you can pay with PAYPAL on the WEBSITE at https://www.rhpc-in.org/new-member

Email *

Section 1 #1 "Read only"

Section 1 #2 If you agree to these terms then enter a check mark in the box. This is a legal document and by checking the box you are agreeing to our liability terms. Thank You! *

I Agree to the terms of the "Release of Liability" waiver.

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