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PLEASE PRINT | ||
Name: | ||
| Address: | ||
| City: | State: | Zip: |
| Telephone: | E-mail: | |
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Adult Membership (one year) | ||
Adult Membership (three years) | ||
Adult Membership (five years) | ||
Student Membership (one year) | ||
Family Membership (one year) | ||
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Life Membership | ||
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Corporate Membership (one year) | ||
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Charge My: Visa Mastercard ![]() | ||
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| Card Number: | Exp. Date: | |
| Signature | ||
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| Please make checks payable to: | Bluffland Whitetails Association | |
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| Send membership forms to: | Bluffland Whitetails Association 21581 County 20 Preston, MN 55965 | |