To join, fill out the form below and mail it, along with the annual membership fee of $10.00 (made payable to the Punxsutawney Chamber of Commerce) to:

Punxsutawney Groundhog Club
102 West Mahoning Street
Punxsutawney, PA 15767

Name	_____________________________________________
Address	_____________________________________________
E-mail Address	_____________________________________________
	_____________________________________________
City	_____________________ State ____ Zip ________
Name of Chapter (if joining as a member of a Groundhog Club Chapter):	_______________________

For an additional $5.00 for each card you, as a member of the Groundhog Club, are also entitled to have February 2nd birthday or anniversary greetings sent by Punxsutawney Phil to yourself, a friend or a relative who shares his or her special day with Phil. Complete the form below with the name(s) and address(es) of people you would like the cards mailed to and send it to the Punxsutawney Groundhog Club. If additional space is needed, attach a piece of paper with the information to this form.

Name:	_________________		Name:	_________________
Address:	_________________		Address:	_________________
City, State, Zip:	_________________		City, State, Zip:	_________________
Birthday	Anniversary		Birthday	Anniversary