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PO Box 101 Cortez. CO 81321 Carded ________

Secretary signature

________

Sponsor_________________

Revised 1/12/10

If you would like to receive reminder notifications for all club events please CLEARLY PRINT your name and email address on this form and submit it along with your membership application.

_________________________________ _________________________________

NAME

EMAIL

You email address will be kept completely confidential and you will ONLY receive notifications for gun club events….period!

+++++++++++++++++++++++++++++++++++++++++

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