The Wells Family Fan Club Application If you would like to mail in your membership please fill out this form, print and send with your check or money order to: The Wells Family Fan Club 116 Keri Dr. Garner, NC 27529 Annual Membership Dues:             USA Residents -- $15-Individual $25-Married Couple (check one) International Residents -- $20-Individual $35-Married Couple (check one) (US Funds Only) (Allow six weeks to process.)
Name:
(if couple) Spouses Name:
Street Address:
City:
State:
Zip  :
Phone:
(required for online access!) Email:
Date of Birth :
(if couple) Spouses Date of Birth:
check/money amount $:
Select Hat or T-Shirt Size :	Please Select HAT - one size fits all T-shirt: Adult Small T-shirt: Adult Medium T-shirt: Adult Large T-shirt: Adult XL T-shirt: Adult XXL T-shirt: Adult XXXL
(if couple) Spouses Hat or T-Shirt:	Please Select HAT - one size fits all T-shirt: Adult Small T-shirt: Adult Medium T-shirt: Adult Large T-shirt: Adult XL T-shirt: Adult XXL T-shirt: Adult XXXL
FOR OFFICE USE ONLY: Recieved at show To be mailed