Safari Club International
 Northeast Wisconsin Chapter
 Membership Application

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NEWI SCI CHAPTER - ONE YEAR MEMBERSHIP: USA, Canada & Mexico  $80
(This includes the $55 membership for national plus $25 for NEWI Chapter dues)

SCI NATIONAL LIFE MEMBERSHIP - Regular Life Membership:
USA, Canada & Mexico $1,500
SENIOR SCI NATIONAL LIFE MEMBERSHIP - 60 Years plus:
USA, Canada & Mexico $1,250
SCI NATIONAL ONE YEAR MEMBERSHIP: USA, Canada & Mexico $55
SCI NATIONAL THREE YEAR MEMBERSHIP: USA, Canada & Mexico $150
FAMILY MEMBERSHIP: For more information call Member Service Dept. 888-486-8724
SCI NATIONAL YOUTH (YOUNG HUNTER) MEMBERSHIP: USA, Canada & Mexico $15
SABLES ONE YEAR MEMBERSHIP: Regular Membership  $30
SABLES THREE YEAR MEMBERSHIP: Regular Membership  $75

TOTAL

Pay by check: 

"Please make checks payable to NEWISCI Chapter"

Pay by Credit Card:

 Visa MasterCard Am Express Discover

Card No:

Exp Date:

Signature:  ______________________________________________________________

Safari Club Member Number if you are already a National Member:

Name:

Address:

City:

State: Zip:

Phone No:

email:

Fill out, enclose payment and mail to:             

Danielle Henker / Director of Membership
1546 CTY RD I
Oshkosh, WI 54902