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: Call Member Service Dept. 888-486-8724
SCI NATIONAL YOUTH 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 form, print,
enclose payment and mail to:   

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