COLFAX SPORTSMEN’S CLUB
         P.O. BOX 358              

COLFAX, WI 54730  
        APPLICATION FOR MEMBERSHIP   (Print, fill out and mail)
 MEMBERSHIP-    $20.00 ANNUAL FEE 
MEMBER (PLEASE PRINT) 

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LAST NAME                          FIRST NAME                          MIDDLE INITIAL                    NRA MEMBER Y/N 


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ADDRESS                                                 CITY                            STATE          ZIP                     PHONE

Check one:          New Membership ______      Renewal Membership______

Email address: _______________________________________________  
                                  

  SIGNATURE:  ____________________________________ Date: ___________