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broughton@iw.net

THREE RIVERS GUN WILDLIFE GUN CLUB

MEMBERSHIP APPLICATION 2006

 

January 1st , 2006 - February 1st , 2007

Family membership $50.00/year

(Includes spouse and all children 17yrs and younger)

College students $25.00/year

(Send copy of school i.d. with application)

 

 

MEMBERS NAME: __________________________________________________

 

FAMILY MEMBERS:____________________________________

 

ADDRESS: ________________________________________________________

 

HOME PHONE NUMBER: ____________________________________

 

IN CASE OF EMERGENCY CONTACT: ________________________

PHONE NUMBER: ___________________________________________

 

THREE RIVERS WILDLIFE WEB SITE:

www.3riversgunclub.com

 

MAIL APPLICATION AND MEMBERSHIP FEE TO:

3 RIVERS WILDLIFE GUN CLUB

C/O NEIL BROUGHTON

PO Box 113

CANTON SD, 57013

YOUR MEMBERSHIP CARD & CLUB POLICIES WILL BE MAILED TO YOU

KEY FOR THE CLUB CAN BE PICKED UP AT:

Pump N Go Video
504 E. 5th Street
Canton, SD
7am to 10pm Monday thru Saturday
8am to 10pm Sunday