Print out form and mail to address below
Pittsburgh Stein Society Membership Form

Dues 1 year $10.00 or $25.00 for 3 years

Please make check payable to 
Pittsburgh Stein Society and mail to:

Pittsburgh Stein Society Treasurer
113 Sunset Drive
New Cumberland PA 17070-3060




    S.C.I. #____________________

    Name:________________________________________________________________________

    Significant Other:_____________________________________________________________

    Address:______________________________________________________________________

                  ______________________________________________________________________

    Home Phone:______________________________Cell Phone:___________________________

    Email Address:_______________________________________________

   
    Steins of your interest___________________________________________________________


For more information on the Pittsburgh Stein Society please click below to send an email
If you would be interested in joining our chapter
please print out the form below.

Information