Fort Lauderdale Archers
Date_________ Single Adult $175.00
Name_________________________________ Family $190.00
Address_______________________________ Full Time Student $75.00
City__________________________________ (under 18)
Make Checks Payable to: Ft. Lauderdale Archers All Members are required to attend
Mail to: Dominick Orazi at least four work parties each year.
13591 NW 3rd St. Apt. 106 Members Initials___________
Pembroke Pines, FL. 33028 (954) 450-1787
Additional Family Members_______________________________________
_______________________________________ Card Made____________
________________________________________ Board Mem. Initials___________
If you wish to join the National Field Archery Association please include an additional $35.00________
Payment Method: cash___ check____ Amount Paid_____________
By signing below you are acknowledging that you have been given a brief tour and/or an explanation of the basic rules and regulations of the Fort Lauderdale Archery Club, that you have filled out the application in its entirety, and have agreed to attend a minimum of four(4) work parties a year, and have paid in full the dues indicated above. You are also acknowledging that at no time will alcohol be allowed on the range and that broadheads are only to be shot into the Broadhead pit. Failure to adhere to any of the Rules and Regulations may lead to recompense and termination to the Fort Lauderdale Archers.