2011 Membership Form

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WFDA  NEW- MEMBERSHIP FORM

Date: ______________

 

Member Name _____________________________________________  DOB _______________

Phone # __________________ Cell ___________________ Email________________________

Address _______________________________________________________________________

State/Prov_____________________Country_______________________Zip ________________

Member Spouse Name_____________________________________       DOB ______________

Additional Family Names _____________________________________  DOB ______________

Sponsor_______________________________________________________________________

 

      ***   Insurance Premiums apply to US and Canada Only!  ***

 

New Membership – initiation Fee - (Patch, Pin)

 

Membership Fee                $45.00                *Insurance   $15.00   Initiation $10.00                   Total     $70.00     ___________

Additional           $20.00   *Insurance   $10.00    Initiation $10.00     Total     $40.00        ___________

 

SPECIAL 2010 Discount for New Members – No patch or pin

Without Magazine                $25.00                Includes Insurance                                                                                     _______________

With Magazine                     $35.00                Includes Insurance                                                            ____________

 

Annual Renewal Calculations                                                                                                                                                                                                                                                  

 

Annual Membership Primary                  $45.00                  *Insurance   $15.00                                  Total     $60.00             ____________

Additional Family Member             $20.00                  *Insurance   $10.00                     Total     $30.00        ____________

 

Existing Life Member Calculations

 

Annual Membership Primary                  *Insurance Premium    $15.00                                    Total      $15.00         __________

Spouse Life Member                       *Insurance Premium     $10.00                                     Total     $ 10.00         ___________

Additional Family Life                                    *Insurance Premium    $ 10.00                  Total     $ 10.00         ___________

 

NRA Membership Calculations

 

NRA Member      Yes ___   No ____                                  NRA #’s_____________________________

 

Renew / Join:  Dues    $10.00 ________ with NRA Magazine    $25.00____________

 

Supplies

 

WFDA Patches, Pins, Window decals,$ 5.00 ea_______ Caps $10 ea _______ + shipping

 

Members outside of US

 

Residing in Canada add additional postage                                                                                $5.00                ___________

Residing outside of US other than Canada add postage                                                     $20.00       ___________ 

 

                                                                                    Total amount due  $______________

 

The Association Thanks You for your Membership and Support                    

Please make your check or money order to World Fast Draw Association, all fees outside of the US please use a U.S. Postal Money Order.

                                       Send Dues to:     Dan Qualls

                                                                  6000 Wilkins Ave

                                                                  Oakdale, CA 95361-9797

                                                                  Phone 209-847-0483

 

 

 

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