APPLICANT’S NAME: _____________________________

STREET ADDRESS:______________________________________________________

CITY:__________________________STATE:_________________ZIP:_____________

PHONE #_______________________EMAIL:_________________________________

MEMBERSHIP FEE:

________General Membership - $99.00 - This fee will be pro-rated at $8 per month if joining after Jan.1st.

Are you a member of any of these organizations. ( check all that apply)

____C.A.A   ____N.F.A.A.    ____I.B.O.    ____U.B.C.

Styles of shooting that you participate in. ( check all that apply)

____Bow Hunting    ____3D Shoots    ____Indoor Paper ____Outdoor Paper    ____Field

*** Do Not *** Send Payment With This Application

SPONSORSHIP:

SPONSOR NAME:_______________________________DATE:__________________

 I, _______________________hereby request membership into ALGONQUIN ARCHERS, INC. I understand this membership is probationary for one year, and I have read and agree to abide by the Constitution and By-Laws of the Organization.