APPLICATION FORM

APPLICATION FOR MEMBERSHIP IN THE “WASHINGTON STATE BIG GAME COUNCIL”

CURRENT DUES ARE: $15.00 AND MUST BE ATTACHED TO THIS APPLICATION.

DATE. ______________

NAME: _____________________________

ADDRESS: _______________________________________ CITY: __________________________

STATE: ____________ ZIP CODE: ________________

WORK PHONE: ______________________ HOME PHONE: _______________________

OCCUPATION: _______________________________ ARE YOU AN NRA MEMBER? ____________

WHAT AND WHERE DO YOU HUNT? __________________________________________________________________

HAVE YOU EVER BEEN CONVICTED OF ANY GAME VIOLATIONS? ______________

IF YES GIVE DETAILS: (Use back of form if you need more room) _____________________________________________

_____________________________________________________________________________________________________

CHECK ANY INTERESTS YOU HAVE BELOW:

PUBLIC RELATIONS ____ LEGISLATIVE ____ GUN LEGISLATION ____ DOFW LIAISON ____

PROGRAMS ____ WILDLIFE PATROL ____ MEMBERSHIP ____ NEWSLETTER ____

TROPHY SHOOT ____ FUND RAISING ____ NRA LIAISON ____ WORK PARTIES ____

PLEASE CHECK ONE:

REGULAR MEMBERSHIP ____ JUNIOR MEMBERSHIP ____ AFFILIATE MEMBERSHIP ____

NOTE:

THE UNDERSIGNED PROMISES TO ADHERE TO ALL AIMS & OBJECTIVES AND TO SUPPORT THE

CONSTITUTION AND BYLAWS OF THE “WASHINGTON STATE BIG GAME COUNCIL” TO THE BEST

OF MY ABILITY.

SIGNATURE: ___________________________________________________________