Fast Break Club Membership Form
Printable FBC Enrollment Form (PDF)
Here is my membership form and a check for the level selected (white/black/crimson) made payable to the Fast Break Club. I understand that my name will be placed around the Fast Break Club banner in the gym, on the team website, and that I will receive a Fast Break Club membership gift*.
Name_____________________________________________________
Address___________________________________________________
City/State _____________________________________ Zip__________
White - $50.00 includes 1 FBC Bears clingy window decal.
Black - $75.00 includes 1 FBC Bears clingy window decal & 1 FBC apparel item of your choice.
Crimson - $125.00 includes 2 FBC Bears clingy window decal & 2 FBC apparel items of your choice.
Mail to:
Fast Break Club
PO Box 21564
Juneau, AK 99802
*Limited to stock/sizes on hand
