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- Membership Application -
Burnett Game Farm & Hunt Club
Name of Applicant _____________________________________________
Home Address ________________________________________________
Business Address ______________________________________________
Preferred address for communication and billing ___ Home ____ Business
Membership Type: _____ Executive ____ Corporate
Corporate and Executive Applicants: Contact Person ____________________
Are you a sponsor or member of Ducks Unlimited ___ Yes ___ No
Are you a member of the NRA ___ Yes ___ No
Are you a sponsor or member of any other conservation organization? ___ Yes ___No
Applicants Signature _____________________________________________________
I understand membership in the club may require my waiver of certain legal rights, including
the right to sue the club and its directors for accidents and injuries beyond their control. I have included a
$100 refundable deposit.
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