type in your information. After completing your application, print it and send to Nevada Rangers with your payment.
To Get Adobe-Acrobat 5.0
MEMBERSHIP
APPLICATION
ELDORADO
COWBOYS�, Inc.
(THE ELDORADO MINING & CATTLE COMPANY) �,
Inc.
(Please
print this page and send with each member application and waiver)
NAME:
____________________________ ALIAS: ____________________________
SASS
# _______ BRPC
# _______
NRA # ______ N.C.O.W.S.
#_______
ADDRESS:
_____________________________________________________________
CITY
____________________________ STATE _______________ZIP ____________
PHONE # (
)_______________
Email________________________________
WHEN ACCEPTED INTO MEMBERSHIP
IN THE ELDORADO COWBOYS, I AGREE TO THE
FOLLOWING CONDITIONS:
I CERTIFY THAT I AM A CITIZEN
OF THE UNITED STATES of AMERICA OR AN ALIEN LEGALLY RESIDING OR VISITING IN THE
U.S.A. I AM NOT A MEMBER OF ANY
ORGANIZATION OR GROUP HAVING AS ITS PURPOSE OR ONE OF ITS PURPOSES THE OVERTHROW
BY FORCE AND/OR VIOLENCE OF THE GOVERNMENT OF THE UNITED STATES OR ANY OF ITS
POLITICAL SUBDIVISIONS. THAT I HAVE NEVER BEEN CONVICTED OF A FELONY OR CRIME OF
VIOLENCE. WHEN ADMITTED TO MEMBERSHIP, I WILL FULFILL THE OBLIGATION OF GOOD
SPORTSMANSHIP AND GOOD CITIZENSHIP, AND BEHAVE LIKE A LADY OR GENTLEMAN IS
EXPECTED.
INCLUDED WITH THIS COMPLETED APPLICATION & WAIVER IS MY $25.00 FOR SINGLE MEMBERSHIP, $35.00 FOR FAMILY MEMBERSHIP OR $250.00 FOR A LIFE MEMBERSHIP.
MAKE CHECK PAYABLE TO ELDORADO
COWBOYS. Please forward
to:
ELDORADO COWBOYS
C/o Nancy A. Myers
708 HULL STREET
HENDERSON, NV 89015
___________________________
________
SIGNATURE DATE
LIST ALL CHILDREN BETWEEN THE
AGES OF 12 AND 18 YEARS OF AGE THAT WILL PARTICIPATE IN ACTIVITIES OF THE CLUB.
PLEASE UTILIZE ADDITIONAL FORMS IF NEEDED.
NAME
AND AGE____________________________________
ALIAS ________________________SASS
# ______________
NAME
AND AGE____________________________________
ALIAS ________________________SASS
#______________
Please complete Waiver on Reverse Side
REVISED:
2/14/04
MEMBERSHIP
APPLICATION
You can input your information by placing mouse hand on the
information area and when it turns to I,
type in your information. After
completing your application, print it and send to Nevada Rangers with your
payment.
To Get Adobe-Acrobat 5.0
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