Island Singles

Hilton Head Island and Bluffton Area

 Membership & Renewal Application




Mailing Address __________________________________________________________


City _____________________________________State __________Zip _____________


Home Phone _____________________________________________________________


Cell Phone ______________________________________________________________


E-mail __________________________________________________________________


Birthday:  Month _________________________ Day ____________________________


New Member ________________     Renewal _________________




In consideration of my membership, I hereby agree that neither I, nor my heirs or assigns will hold any member of the club liable for any injury or damage, however caused, that may result from my participation in any club event.   Initial ________________


May the club include your information in its directory?

Yes ___________       No ____________


 Signature _____________________________________________________


 Club dues for January 1 through Dec 31 are $25 payable with application.

Deadline is Jan 31 for current members.

Dues are not pro-rated and are non-refundable.

Make checks payable to “Island Singles”


Mail to: Karen Graeber:    27 Arrow Wood Road, Hilton Head Island, S.C. 29926