Registration Form

1998 Global Z Club Directory

Official Registration Form

Club Information

Name of Z Club:
Mailing Address:
City:
State or Province:
Country:
ZIP or Postal Code:
Phone Number:
FAX Number:
Electronic Mail Address:
Website Address:
1998 Dues: - Single
1998 Dues: - Family
1998 Dues: - Associate
Number of Members:
Club Photo?
Date Club Was Organized: mm/dd/yy
Club Logo Submitted?

Officers and Directors

President or Chairmain:
Vice President(s):
Secretary:
Treasurer:
Technical Director(s):
Activities Directors:
Newletter Editor:
Other:

Briefly ouline your 1998 Club highlights and goals:

Mail this form to:
Global Z Club Directory
7421 South Woodwar Avenue
Suite a306
Woodridge, Illinois 60517
USA