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Monday, January 05, 2009
"Associate Member Application..."
   Online Application  
All fields marked with an * are required
Personal Information
*First Name:
Middle Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State/Prov:
*Postal Code:
*Country:
*Phone (Home):
*Phone (Work):
*Email:
*Date of Birth:

To Qualify as an Associate Member in the Pope & Young Club you must have one species of North American big game taken with a Bow and Arrow.
*Species:
*Where:
*When:
*Can you authenticate the harvest of this animal? Yes   No

*What Archery and Outdoors oriented organizations do you belong to?
*Have you ever been convicted of a game violation? Yes No

If yes, provide complete details:

Character References
Reference 1
*First Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State/Prov:
*Postal Code:
*Country:

Reference 2
*First Name:
*Last Name:
*Address 1:
Address 2:
*City:
*State/Prov:
*Postal Code:
*Country:

Credit Card Information
Your Credit Card will be billed $35.00 once your application has been accepted.
*Credit Card Type:
*Card Number:
*Expiration Month:
*Expiration Year:

 
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