Agreement to Abide by the

Su-Mac Club Code of Ethics.

Continuing (2006 only) and prospective members,

please print, sign, and send to our Club secretary:

Ms Jo Anne Bucholz

8215 Wood Duck Trail

Lino Lakes, MN  55014

Su-Mac Club Copy

Please print a copy of our Club Code of Ethics for yourself and keep it for your reference.

If you are continuing (2006 only) or applying for membership(s) in the Su-Mac Club, please indicate your agreement by printing the form below, signing it (all prospective members need to sign), and submitting it with your re-application or application.  Thank you!

I (We), member(s) of a household, have read, understand and; as prospective junior,

associate, or full members of the Club; agree to abide by the Su-Mac Club Code

of Ethics.  Failure to abide by this Code of Ethics may result in sanctions by the Su-Mac Club.

1. Signature ______________________________________ Date ___/ ___/ _______

   Last name (please print): ______________________ First name: _______________

   Type of membership:  ___________________________________

2. Signature ______________________________________ Date ___/ ___/ _______

   Last name (please print): ______________________ First name: _______________

   Type of membership:  ___________________________________

3. Signature _______________________________________Date ___/ ___/ _______

   Last name (please print): _______________________First name: ______________

   Type of membership:  ___________________________________

4. Signature _______________________________________Date ___/ ___/ _______

   Last name (please print): ________________________First name: _____________

   Type of membership:  ___________________________________

5. Signature _______________________________________Date ___/ ___/ _______

   Last name (please print): ________________________First name: _____________

   Type of membership:  ___________________________________