Membership Application

We need to turn this into a printable / signable document.

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Name: ______

Membership Type: (Circle one) Full / Contributing

Desired username: ______

Address: _____

Phone number: ______

Email address: ______

Nominated for membership by: ______

__ I have read and agreed to abide by the bylaws.

__ I have signed the liability waiver.

Applicant Signature: ______ Date: ______

__ Applicant has been approved by present members.

Board Member Signature: ______ Date: ______