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  PDF FORM

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 Get Acrobat Reader

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