BUSHMEN ARCHERS, INC.

MEMBERSHIP DUES FORM

2007-2008

Please fill out this form and send with your check made payable to "Bushmen Archers, Inc." to Bushmen Archers, Inc., Wes Naish, Treasurer, 58119 S Bachelor Flat Rd, Warren OR 97053-9310.  Your membership card, receipt and new key will be sent by mail to the address you provide.

 NAME :

 

ADDRESS :

 

CITY, STATE, ZIP :

 

PHONE NUMBER :

 

E-MAIL ADDRESS :

Membership Dues:                                                   

________ Individual Membership $40/year

 

________ Family Membership $50/year

 

________ Out-of-town Individual Membership (Beyond Linnton and Rainier) $15/year

 

________ Out-of-town Family Membership $25/year

 

________ TOTAL AMOUNT DUE (make check payable to Bushmen Archers, Inc.)

 

Key Number:________________

(for office use only)