Juneau Archery Club Membership Application

Application type: [ ] New Member [ ] Membership Renewal
Name_____________________________________________________Date_____________________
Address________________________________________________Phone_________hm._________wk.
City_________________________State______________Zip Code_____________________________

List any additional Family Members if a Family Membership
Name______________________________________________________________________________
Name______________________________________________________________________________
Name______________________________________________________________________________
Name______________________________________________________________________________

Membership Fees:

[ ] Youth-$5.00 [ ] Single-$15.00 [ ] Family-$20.00

May we place your name, address and phone number on a call list to be used for the purpose of organizing
work parties and notifying the membership of special activities, etc.?

[ ] YES [ ] NO

What is your interest in archery? [ ] Target Shooting [ ] Bowhunting

Would you like to receive the Bowhunting Supplement to the regular Membership Newsletter?

[ ] YES [ ] NO

E-Mail address ______________________________________________________________

Mail this application and your check to:

Juneau Archery Club
P.O. Box 34866
Juneau, Alaska 99803