Outdoor Range

Hunting Harvest

Fill out the form below and bring it in or email to info@cochranearchery.ca

2013
COCHRANE ARCHERY CLUB
MEMBERSHIP APPLICATION FORM

NAME: ____________________________________ DATE OF BIRTH: _____________________________
ADDRESS: _______________________________________________________________________________
POSTAL CODE: ____________________________ HOME PHONE: _______________________________
BUSINESS PHONE: _________________________ EMAIL ADDRESS: ____________________________

MEMBERSHIP TYPE
SINGLE: $150.00 FAMILY: $300.00 OUTDOOR: $75.00
NAMES OF OTHER FAMILY MEMBERS RELATIONSHIP DATE OF BIRTH
1.____________________________ _______________ _______________
2.____________________________ _______________ _______________
3.____________________________ _______________ _______________
4.____________________________ _______________ _______________
5.____________________________ _______________ _______________

BOW RENTAL FEE: _________________________ ARROWS: ______________

PAYMENT DATE: ____________ AMOUNT: _________________ CHEQUE NUMBER: ____________

For further information on the club please email us at info@cochranearchery.ca

Greg Gerlitz
Memberhsip Coordinator
Cochrane Archery Club