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Name                             Phone

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Address

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City                          State           Zip

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E-mail Address (optional)

Choose Your Membership

[ ] $30 Regular Membership
        Includes banquet, newsletter, window decal, use
        of Youth Hunting Area.

[ ] $20 Non Banquet Membership
        Includes newsletter, window decal, use of Youth
        Hunting Area.

[ ] $15 Spouse
        Accompanying spouse banquet meal.

[ ] Sponsor Membership
        For individuals contributing $200 or more, 
        includes regular membership benefits plus
        free banquet ticket (for each additional $100
        receive an additional ticket), and special
        recognition at the banquet.

Print and mail a completed membership application with
a check or money order to:

Pheasants for the Future, Inc.
PO Box 594
Minot, ND 58702