Head of Household

Date:_________________

Name:__________________________________________

Club/Unattached  _________________________________

Region _________________________________________

Address ________________________________________

City/St/Zip________________________ /___/__________

Phone __________________________

E-Mail  _________________________________________

Amount                   

                                  

   $35         Adult Membership/Head of Household OR...

   $45         Name_____________________      Spouse/Family

 

                  (Addl. Youth Names can be attached)       (Under 18) 

                                                                                Youth Birthdate

       _         Name_____________________            _________

       _         Name_____________________            _________

                  Youth w/out parent or guardian       Youth Birthdate

   $15         Name_____________________            _________

Additional Contributions

                  Ca. Legislative Fund            ____  Ca. Hall of Fame

                  Ca. Archery Foundation (501-3c tax deductible)

                  CBH/SAA Range Fund 

 

TOTAL: _____________________

CBH/SAA only-ASSOCIATE BOWHUNTER MEMBERSHIP APPLICATION

Make Check Payable To: CBH/SAA Send to: CBH/SAA Secretary, 7710 Camino Vista, Shingletown, CA  96088   e-mail Pam Severtson: mpsevertson@frontiernet.net

 

For Credit Card Payment:  Call 530-474-3324 or fill out information: 

Type of Card: (Circle one) Visa  or  Mastercard

Card #:________________________________

Exp: ____/_____Code from back of Card:                     

 

Membership includes a monthly Newsletter. A membership exclusive, you will receive the newsletter two weeks before the printed or web version! You must specify if you want to receive the newsletter via e-mail only. Please provide your email address: ______________________________  It can also be mailed to you. Check here _____ if you would like the Newsletter mailed.

 

An Associate Membership allows you to compete in the State Broadhead, 3D Unmarked Championships, and Small Game Events.  You must also belong to CBH/SAA to record your big game.

                

In order to compete in the State Field, Indoor Target, and Outdoor Target Championships, you will need to belong to NFAA.  NFAA membership includes CBH/SAA as well. 

 

Adult NAA (USAA) Members:  In order to compete for awards in California State Championships, you must pay Associate Membership dues.

 

Youth (under 18) NAA (USAA) Members:  Youth without Parent or Guardian may pay $15 dues, you must pay Associate Membership Youth dues in order to be eligible for State Tournaments.

 

A PDF OF THIS APPLICATION CAN BE DOWNLOADED HERE:

WebMbr.pdf

 

 

(WEB)