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2007 4-Way Membership Application

Date Received: _____________                     Check #____________                      Cash Amt _________
  4-WAY RODEO ASSOCIATION
P.O. BOX 441
PRYOR, OK  74362
  2008 MEMBERSHIP APPLICATiON


  ______$35 Family                                                       ______$20 Individual
 Name: _____________________________________________________________
 

Address: ___________________________________________________________
 

Phone (home): __________________             Phone (work):___________________

Phone (cell): ____________________

E-mail: ____________________________________________________________

Date of Birth:__________________              

Parent’s name (if youth): _______________________________________________

 *************************************************************************

Family Membership Additional Members:
 

Name:______________________________________________________________
 

Date of Birth: ___________________
 

Name: ______________________________________________________________
 

Date of Birth: ___________________
 

Name: ______________________________________________________________

Date of Birth: ___________________
 

Name: ______________________________________________________________

Date of Birth: ___________________