Packers 500 Club Sign Up

SIGN ME UP NOW FOR THE 2023-2024 CLUB!

Step 1. Complete the Online Membership Form below.
Step 2. Submit payment online.

PACKERS 500 CLUB DETAILS

PRINT & MAIL YOUR FORM

STEP 1: Packers 500 Online Membership Form

* Indicates required field

Member Name *

First

Last

Maiden Name (if SHS alumni and applicable) *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Phone Number *

If SHS Alumni, please list graduation year. *

I am at least 18 years old (participants must be 18 or older). *

Yes No

If you are a current member of the 2022-23 500 Club you have the option to keep your number for the 2023-24 Club. *

Yes - I would like to keep my number No - I do not want to keep my number

FINE PRINT
- Please submit separate forms for additional memberships.
- Payment must be received between March 1, 2023 and April 30, 2023 to join the 2023-24 Packers 500 Club.

Office Use Only *

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