MIAMI VALLEY SPORTSMEN'S CLUB MEMBERSHIP APPLICATION

I......................................................WOULD LIKE TO APPLY FOR MEMBERSHIP IN THE MIAMI VALLEY SPORTSMEN'S CLUB.

I UNDERSTAND THAT DUES ARE TO BE SET PER YEAR, AND TO BE A MEMBER IN GOOD STANDING, I MUST OBEY ALL CLUB RULES.

UPON BEING ACCEPTED INTO THE MIAMI VALLEY SPORTSMEN'S CLUB, YOU WILL RECEIVE ALL MATERIALS CONCERNING YOUR MEMBERSHIP, INCLUDING THE CONSTITUTION AND BY-LAWS, RACE RULES AND MEMBERSHIP CARD.

(A INITIATION FEE IS REQUIRED TO ACCOMPANY APPLICATION)

1. HAVE YOU EVER BEEN A MVS CLUB MEMBER IN THE PAST?...................

2. HAVE YOU EVER FLOWN PIGEONS BEFORE?..................

3. ARE YOU OR HAVE YOU EVER BEEN A MEMBER OF ANOTHER CLUB?.......

IF SO, NAME...............................................................................................

4. DO YOU PRESENTLY HAVE BIRDS?............................

LAST NAME:......................................... FIRST NAME:.........................,.....ADDRESS:...................................................................................................

CITY:............................... STATE:............ ZIP:.................

PHONE: (.......) ..................................... DATE OF BIRTH:.........................

SIGNATURE:.......................................................... DATE:.........................

SPONSOR:.............................................................,....

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APPROVED BY:............................................. (PRESIDENT)

.............................................. (VICE PRESIDENT)

.............................................. (SECRETARY)

APPROVED:...........% CLUB VOTE DISALLOWED:........... % CLUB VOTE