Transcription of Application for Membership - …
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Application for Membership - …
Application for Membership _____ shooting Year ( ) New Member ( ) Renewal ( ) Life Members-Please complete and return. ( ) Trap Shooter ( ) Skeet Shooter ( ) Both Please Print Name: _____ , _____ , ____ _____ (Last Name) (First Name) (MI) (DOB) Address: _____ Home Phone#: _____ City/State/Zip: _____ Cell Phone #: _____ E-Mail Address: _____ Emergency Contact: _____ _____ _____ (Name) (Relationship) (Emergency #) Annual Membership Fee $ * * * * Life Membership Fee $ Pine Belt Sportsman s Club welcomes you as a new member and thanks our current life and annual members for your continued support of our ever growing, premier shooting venue.
Application for Membership _____ Shooting Year ( ) New Member ( ) Renewal ( ) Life Members-Please . complete and return.
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