POTTAWATTAMIE BOWHUNTERS
P.O. Box 344
COUNCIL BLUFFS, IA
51502
MEMBERSHIP APPLICATION
PLEASE
PRINT OUT THIS FORM
COMPLETE FORM IN INK
AND MAIL TO ABOVE
ADDRESS,
TURN IN AT BOWSHOOT
OR TURN IN TO MEMBER
ANNUAL
DUES PAYABLE JULY 1stst EACH YEAR
DUES EXPIRE JUNE 30thth EACH
YEAR
NAME:__________________________________________________________________
ADDRESS:_______________________________________________________________
CITY:__________________________
STATE:______________ ZIP:_________________
E-MAIL
ADDRESS:________________________________________________________
TELEPHONE:_____________________________________________________________
FAMILY
MEMBER
NAMES:
SPOUSE:_________________________________________________________________
CHILDERN:_______________________________________________________________
ARCHERY
AREA OF INTEREST______________________________________________
I
REQUEST TO BECOME A MEMBER OF THE POTTAWATTAMIE BOWHUNTERS ARCHERY CLUB. I AGREE
TO SUPPORT THE CLUB TO THE BEST OF MY ABILITIES, TO ADVANCE THE SPORT OF ARCHERY
AND BOWHUNTING, AND TO PROMOTE GOOD SPORTSMANSHIP.
TYPE
MEMBERSHIP:
SINGLE: $30.00________
FAMILY:
$40.00________
YOUTH : $20.00________ Under 17
Years
SIGNATURE:___________________________________
DATE:_________________________________________