COMMENTS AND SUGGESTIONS:
DAVID SLACK (302-359-4671)
MID-DEL ARCHERS
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
David Hosier
302-335-0282
Club “New Member” Application
MAA Representative