| Elkhorn Archers Membership Application |
| Name_____________________ |
| Address____________________ |
| City, State, and Zip__________________________________________ |
| Membership fees: Individual: $25/year Family: $35/year Junior (16 & under): $15/year |
| Family members: __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ |
| Phone Number______________ |
| E-mail Address______________________ |
| Relationship: __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ |
| Emergency Contact Name & Phone Number _____________________________________ |
| Please print and send this form with a check for the amount to: Elkhorn Archers PO Box 664 Baker City, OR 97814 |