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Manitoba Frontier Shootists Society

 

Membership application

Name______________________alias___________________

SASS No. (if any)_________

Address____________________city____________________

Province (or State)________________________________

Postal code (zip)_________ phone (_____)____________

Fax (____)__________________ email___________________

Primary Member $30

Additional Family Members, add $10 each

Name______________________alias_______________________

Name______________________alias_______________________

Total Enclosed $ __________

Make cheques payable to Manitoba Frontier Shootists Society

Please mail all cheques & applications to:

Manitoba Frontier Shootists Society

C/O Rod Stuart

P.O. Box 1742

Virden, MB, R0M 2C0

204 748 3038