6048 McKee Road, Madison, WI 53719 board@fitchburgserenityclub.com (608) 271-9817

Membership Form (New and Updates)

    Your Name (required)

    Cup # (if you are an existing member

    Reason for this submission
    New MemberAddress ChangeDues Change

    Address

    City

    State

    Zip

    Phone

    Monthly Dues

    If "Other" Dues Amount

    Your Email (required)