First Name: ________________________________

Last Name: _________________________________

Address: ____________________________________

City:________________________________________

State: _______________________________________

Zip Code: ____________________________________

Phone Number: _________________________________

E-mail address: ________________________________

Age: ___________________________

How often do you plan hunting trips?

____ Once a year      ___ Twice a year    ____ More than twice a year

Type of Hunting Equipment used: ____________________________________

_________________________________________________________________

Favorite type of Hunting ____________________________________________

Preferred animal to pursue __________________________________________

Please give us any additional history about yourself: __________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

__________________________________________________________________

You will receive your membership card by mail.

Any questions about the membership please call, write or e-mail us.
Send Checks or Money Orders to:
Bill Collins
P.O. Box 534
Crivitz, WI 54114
Home Phone Number: 715-856-5262
e-mail address: longbowelite@czo.net
www.longbowelite.com