Form to become a member of the Central Chapter of PA Sports Hall of Fame

The major benefit of membership is the ability to nominate and vote for candicates for induction in to our hall of Fame.

Our membership committee is headed by George Gerber (gagwhg@comcast.net or 717.269.3817) and Don Scott (dscottsports@comcast.net).

The cost is $10 per year

Print the form below and send it with a check to either George Gerber:
640 E Queen St
Annville PA 17003-1909

or Don Scott:
1910 E. Cumberland St
Lebanon, PA 17042

Name______________________________________________

Address ___________________________________________

City _______________________ State _____ Zip _________

Phone ________________ Amount Enclosed $ ___________