Big Indian Archers Membership Application

Name; __________________________________________     Phone;_______________

Home Address;____________________ City;____________ State;____ Zip;________

Email:______________________________ Occupation;_________________________

Annual Single Membership - $20.00    Family Membership - $25.00

Business Membership-$40.00 includes Family Membership and Web Page Add

Payment received by; ___________________________ Check# _______________

Dues are due on January 1^st each year.

Mailing Address;  Big Indian Archers,  Sec-Trea. Julie Hormann,

                                        808 Ann St. , Marysville, Ks. 66508