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Fort Lauderdale Archers

Membership Application

Date_________                                                                                   Single Adult            $175.00

Name_________________________________                                 Family                    $190.00

Address_______________________________                                  Full Time Student   $75.00

City__________________________________                                              (under 18)

State__________________Zip____________          

Phone___________________email_______________________     

Occupation__________________________SSN#__________________________     

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.

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