| Wildlife Committee of Washington 1031 - 228th SW, Bothell WA 98021 |
Print this form, complete all information and send to club address with the initiation fee and the pro-rata dues for the year. |  |
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MEMBERSHIP APPLICATION |
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| Name ______________________________________ Home Address _____________________________________________ City _____________________ State _____ Zip __________ Mailing Address (optional)_____________________________________ City______________________ State _____ Zip ___________ Phone (_____)______________ Date of Birth _________________ E-mail _______________________ Occupation ________________________ NRA Number ____________________ Life Member?______ |
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| If applying for a FAMILY MEMBERSHIP (Legal spouse and dependent children under 21 yrs old) complete below. | ||||
| Spouse ________________________ NRA Number ____________________ Minor Dependent Children Name _________________ Age ____ Name ________________ Age ____ Name _________________ Age ____ Name ________________ Age ____ |
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STATEMENT I am applying for membership in the WILDLIFE COMMITTEE OF WASHINGTON, INC. a non-profit organization dedicated to the preservation of our wildlife and our environment, to the education of the public and our youth in hunting, firearm and archery safety, to the promotion of general firearm and archery marksmanship, including the various competitive shooting sports. I will support those aims. I understand the administration and all activities of the Wildlife Committee of Washington, Inc. are conducted through the unpaid services of its members and I agree to donate my time and expertise as needed. I warrant that I am of good character and am U.S. Citizen with the legal right to own firearms. I understand that if the Initiation process is not completed within three (3) months it could result in the forfeiture of all fees paid with this application. The Initiation process includes attending an Orientation session and being voted into membership at a General Meeting. This process takes a minimum of a month. No membership benefits are granted until the Initiation process has been completed.
Signed ____________________________________ Date ___________ |
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Payment received $______________ by _________ |
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