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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): _______________________________________________

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Family Membership Additional Members:

Name:______________________________________________________________

Date of Birth: ___________________

Name: ______________________________________________________________

Date of Birth: ___________________

Name: ______________________________________________________________

Date of Birth: ___________________

Name: ______________________________________________________________

Date of Birth: ___________________