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Print this page then fill out form. |
WWSC Associate Membership Application Form
| By requesting and accepting membership at West Walker Sportsman's Club, I agree to hold harmless West Walker Sportsman's Club, its officers, members, and guests for any injury or loss suffered by myself or members of my family while attending or participating in any events, activities or functions at West Walker Sportsman's Club. Furthermore, I agree to abide by all rules and regulations of West Walker Sportsman's Club. I have read and understand the Hold Harmless Agreement and accept it unconditionally. |
| * Indicates a required field and must be filled in. |
| Name * ________________________________________________________ |
| Birth Date * _______________ |
| Address * ______________________________________________________ |
| City * _____________________________ State *_____ Zip* ___________ |
| Home Phone * _____________________ Cell Phone ____________________ |
| E-mail ___________________________________ Club Interests: Archery [ ] Rifle [ ] Handgun [ ] Trap & Skeet [ ] |
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Please circle selections Type of Membership* Renewal New If Renewal, current membership exp date*_______ |
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1 Yr Associate -$60.00 3 Yr Associate - $165.00
1 Yr Senior Assoc.-$50.00 3 Yr Senior Associate - $135.00 |
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Signature * __________________________________ Date* _______________ |
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Enclose the correct dollar amount and mail to:
West Walker Sportsman's Club
Attention Memberships
P.O. Box 141104
Grand Rapids, MI 49514