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APPLICATION FOR MEMBERSHIP
Applicant History: Date___:__ Please check box(s): I Enjoy Wildlife Photography. I Enjoy Painting Wildlife. I Have Graduated from a Hunter Safety Course. Please check one tax deductible donation: □ I am enclosing $1000 for one (1) year of membership. □ I am enclosing $25°° for three (3) years of membership. □ I am enclosing $_for additional support. (city/town, state, zip code) | ______,am enclosing $ _,to show my support for NAME OF APPLICANT The Virginia Game Warden Association, Inc. and to promote and improve the protection of wildlife. Mail to: P. O. Box 400, Edinburg, VA 22824
l _ Not jiff [Mated withthe^Va^ Game^Commission____ □ I Enjoy Hunting. □ □ I Enjoy Fishing. □ □ I Enjoy Boating. □ □ I Enjoy Bird-watching. □ Please fill out completely: _%_ (full name) (street or route address)
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