Sauk Valley Archers
2007 Membership Application
Date:_____________________
Last Name: _________________ First Name: ___________________
Address: ___________________________________________________
City: ______________________ State: ___________ ZIP: ________
Phone: __________________ Email: ___________________________
D.O. B. : ______________________________
Are you a current member of the following? YES NO
ASA IBO NFAA
Please circle all that apply.
Please circle one.
Youth - $30.00 Family/Single - $50.00
By applying for membership and signing this application, I agree to abide with the safety rules and regulations set forth by the Sauk Valley Archers’ Constitution and By-Laws.
Signature: ______________________________
Please return application and appropriate fee to:
Jeff Fues
P.O. Box 31
Oregon, IL 61061
Make checks payable to Sauk Valley Archers
*Memberships are due by December 1st of each year.