Text Box: MEMBERSHIP FORMS

APPLICATION FOR MEMBERSHIP IN THE WISCONSIN STATE 600 BOWLING CLUB

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APPLICATION FOR MEMBERSHIP IN THE NATIONAL 600 BOWLING CLUB

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To aid in processing, you should apply for membership in the National 600 Bowling Club first.
When that membership is received, please include the card number on this form.

 

 

 

Name (Please print or type)

 

USBC Card #

Date Submitted

 

 

Address

 

 

Lifetime Membership Fee–$3.00

 

 

(Includes fee, pin and sticker)

City

 

Zip Code

                

 

Members may purchase
replacement pin or sticker.

Local Association—Name & Number

 

 

                 Replacement Costs:
                        Pin                     $1.75
                        Sticker               $1.25

 

 

 

 

National 600 Bowling Club Membership Number

 

 

Send both copies to:

(with appropriate fee payable to WI State 600 Bowling Club)

Arlys Bourdage
Secretary-Treasurer
Wisconsin State 600 Bowling Club
N6305 State Highway 107
Tomahawk, WI  5448

 

$15.00 Fee Must Accompany this Form
Please Print or Type Information

 

 

 

Last Name, First, Middle Init.

 

USBC Local Assn. (5 Digit #)

 

 

Street Address

 

Score

 

 

City, State  Zip Code

 

Date Bowled

 

 

 

Social Security Number

Phone # with Area Code

E-mail Address

Check here if membership awards are to be mailed to applicant.                   ___________
If not checked, awards will be mailed to address below.

 

VERIFICATION INFORMATION BY:
                 (Check One)

Local 600 Club Secretary     ___________

Local WBA Secretary           ___________

 

 

 

 

Name

Phone # with Area Code

E-mail Address

 

Street Address

 

City, State  Zip Code

 

 

 

Local Association Name

Local 600 Club Name

State Association

SUBMIT THIS FORM ALONG WITH A CHECK IN THE AMOUNT OF $15.00 MADE PAYABLE TO:

 

National 600 Bowling Club
Margaret Lancaster, Secy/Treas
4950 Maple Ridge Road
Marion, NY  14505

Phone:  315—483—2803

E-mail:  marg600@yahoo.com

 

PLEASE MAKE A COPY OF THIS FORM FOR YOUR RECORDS.
TEMPORARY RECEIPTS WILL NOT BE MAILED.