NAME__________________________________    DATE _______________________

ADDRESS______________________________________________________________

CITY STATE ZIP ________________________________________________________

PHONE ________________________________________________________________

E-MAIL________________________________________________________________

CURRENT MEMBER: Yes: No:

ASA MEMBER: Yes: No: ASA#: _______________________________________

CHARACTER REFERENCE:_______________________________________________

Please check type of membership:

  • _____Regular Membership $35.00
  • _____Family Membership $45.00
  • _____Junior Membership $25.00
  •           (12-14 years of age)
  • _____Social Membership $75.00
    •

    Make checks payable to: MID-DEL ARCHERY CLUB

    Mail completed membership application and check to:

    David Slack

    686 Fence Post Lane

    Viola DE 19979

     

    For additional information, contact:

    David Slack

    302-284-2322

    Mrarcher41@aol.com

    David Hosier

    302-335-0282