region #1 report - Safari Club International Northwest Chapter
region #1 report - Safari Club International Northwest Chapter
region #1 report - Safari Club International Northwest Chapter
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Membership Application<br />
SAFARI CLUB INTERNATIONAL<br />
NORTHWEST CHAPTER<br />
__________________________________________________________________________________<br />
NAME SPOUSE’S NAME<br />
___________________________________________________________________________________<br />
HOME ADDRESS CITY / STATE / ZIP COCE<br />
__________________________________________________________________________________<br />
BUSINESS ADDRESS / COMPANY NAME CITY / STATE / ZIP CODE<br />
_______________________________________ ______________________________________<br />
HOME PHONE BUSINESS PHONE<br />
_____________________________________ ______________________________________<br />
CELL PHONE FAX<br />
_______________________________________ ______________________________________<br />
DATE OF BIRTH EMAIL<br />
. Please check the address you prefer club notices be sent to: __ Home Address __ Business Address<br />
Name, as it should appear on SCI Name Badge ______________________________________________<br />
Vocation or Profession _________________________________________________________________<br />
We promote the freedom to hunt and wildlife conservation worldwide. We do this through quarterly<br />
newsletters, meeting with programs of interest, conservation and hunter education programs, public programs,<br />
family events, and an annual fund raising banquet. We are successful in these endeavors because we are an<br />
active club with active members. As a member of the <strong>Northwest</strong> <strong>Chapter</strong>, I am interested in helping in the<br />
following areas:<br />
Please check all that apply<br />
__ <strong>Chapter</strong> Meetings __ Membership __ Trophy Records & Awards<br />
__ Officer or Director __ Education __ Conservation Projects<br />
__ Youth Hunt __ Newsletter __ Sportsmen Against Hunger<br />
__ Fundraising __ Hunter’s Rights __ Publicity & Advertising<br />
To join our chapter, please: 1) fill out and sign this application, 2) obtain a club member’s sponsor, 3) mail a check<br />
for the first year’s dues payable to “<strong>Safari</strong> <strong>Club</strong> <strong>International</strong>” and mail to the membership chairman shown below.<br />
<strong>Safari</strong> <strong>Club</strong> offers Individual Memberships for $110 ($55 National + $55 <strong>Chapter</strong>) and Family Memberships for $130<br />
($75 National and $55 <strong>Chapter</strong>) which extends membership status to spouse and children under age 18.<br />
__ I am applying for Individual Membership: ($110 due with application)<br />
__ I am applying for Family Membership: ($130 due with application)<br />
__ I am applying for <strong>Chapter</strong> Membership: ($55 due, must also be a National member)<br />
__ I am applying for <strong>Chapter</strong> Life Membership: ($1000 due, must also be a National member)<br />
______________________________________________________________________________________________________________________<br />
SIGNED SPONSOR DATE<br />
Please mail your application and check to the Membership Chairman:<br />
SCI – NW <strong>Chapter</strong>, Mike Rex, 1924 Lighthouse Lane NE, Tacoma, WA 98422<br />
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