print out and send to:
NewMexicoWildBunch.com
P. O. Box 11
San Patricio, NM 88348
(505) 653-4285
New Mexico Wild Bunch
Membership Application
Applicant Name:____________________________________________________________________________
Alias:_____________________________________________________________________________________
Address: __________________________________________________________________________________
City, State &
Zip:___________________________________________________________________________
_________________________________________________________________________________________
Phone:
_____________________________________Cell:__________________________________________
I agree that I will not hold the
Sponsor, Host, City, County, State, Fast Draw club or any officials,
employees, or servants of such, responsible for any injuries as a result of my
participation in any part of this or any club activity. I furthermore agree to
follow all safety rules and conduct. I shall dry fire only in an approved
area.
Membership dues for the New Mexico Wild Bunch are $35.00 individual or $55 for a family.
I have read and understand the agreement and agree to abide to the same:
Signature: ___________________________________ Amount Paid:___________________________
Date:
_______________________________________ Date:__________________________________
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