Page 43 - OSCSCI December Safari Trails
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Annual Membership Application
Safari Club International
Billing: - Name: Address:
City, State: Zip Code: ____________ Preferred Phone: ( )____________________
Email Address________________________________________ Web Site : ____________________________________________________________
Mailing: - if Different -Name: Address:
City, State: Zip Code: ____________ Alternate Phone: ( )_____________________
Email Address________________________________________ W eb Site:____________________________________________________________
Signature: _________________________________________________
Sponsor’s Name: __________________________________________________ Sponsor’s Member #:______________________________
BUY A BANQUET TABLE AND GET 8 – 1 YEAR MEMBERSHIPs FREE!!!
I support the Safari Club International's and the Oklahoma Station Chapter's goals of conserving wildlife and
protecting the hunter, and …
______ …please enroll/renew me in 1 year ($35___) or 3 year ($90____) Chapter and National
Membership 1 year of Safari Times newspaper and bimonthly magazine and The Journal of Safari Big Game Hunting.
______... please enroll me as an Oklahoma Chapter Membership for $15.00 -- SCI Number_________________
I understand that chapter membership requires that I be a member in good standing of Safari Club International.
OTHER SCI MEMBERSHIP OPTIONS Renewals must be done through Judy (Check One)
National Three-year ____$ 90 (USA, Canada, Mexico ) ____$ 225 (all other countries )
OKSSCI Life Member (60 +) ____$ 750 (Must be National Lifetime Member) SCI Life Time Member Number _____________
OKSSCI Senior Life Member ____$ 500 (Must be National Lifetime Member) SCI Life Time Member Number _____________
National Life Member ____$1,500 (USA, Canada, Mexico ) ____$2,000 (all other countries )
National Senior Life (60 Years old +) ____$1,250 (USA, Canada, Mexico ) ____$1,750 (all other countries )
National Spousal Life ____$ 750 (USA, Canada, Mexico, all other countries ) [no publications] SCI Number __________
PAYMENT OPTIONS: Make Checks Payable to SCI : We cannot process your credit-card order without the 3-Digit #
Visa____ MC _____ Card Account #: _________________ Expires: ___________________ 3 Digit # on Reverse side of card________
(Absolutely necessary)
Authorized Amount: $_________ Cardholder Signature ___________________________________________________________________
Please return this form with the appropriate fees to:
OKSSCI Memberships
P.O. Box 890307 , Oklahoma City Ok. 73189
Email membership@oklahomastationsci.org * Phone 580-609-0900 * Fax 800 -958-2983
Please print clearly and THANK YOU VERY MUCH for your support!
42
Safari Club International
Billing: - Name: Address:
City, State: Zip Code: ____________ Preferred Phone: ( )____________________
Email Address________________________________________ Web Site : ____________________________________________________________
Mailing: - if Different -Name: Address:
City, State: Zip Code: ____________ Alternate Phone: ( )_____________________
Email Address________________________________________ W eb Site:____________________________________________________________
Signature: _________________________________________________
Sponsor’s Name: __________________________________________________ Sponsor’s Member #:______________________________
BUY A BANQUET TABLE AND GET 8 – 1 YEAR MEMBERSHIPs FREE!!!
I support the Safari Club International's and the Oklahoma Station Chapter's goals of conserving wildlife and
protecting the hunter, and …
______ …please enroll/renew me in 1 year ($35___) or 3 year ($90____) Chapter and National
Membership 1 year of Safari Times newspaper and bimonthly magazine and The Journal of Safari Big Game Hunting.
______... please enroll me as an Oklahoma Chapter Membership for $15.00 -- SCI Number_________________
I understand that chapter membership requires that I be a member in good standing of Safari Club International.
OTHER SCI MEMBERSHIP OPTIONS Renewals must be done through Judy (Check One)
National Three-year ____$ 90 (USA, Canada, Mexico ) ____$ 225 (all other countries )
OKSSCI Life Member (60 +) ____$ 750 (Must be National Lifetime Member) SCI Life Time Member Number _____________
OKSSCI Senior Life Member ____$ 500 (Must be National Lifetime Member) SCI Life Time Member Number _____________
National Life Member ____$1,500 (USA, Canada, Mexico ) ____$2,000 (all other countries )
National Senior Life (60 Years old +) ____$1,250 (USA, Canada, Mexico ) ____$1,750 (all other countries )
National Spousal Life ____$ 750 (USA, Canada, Mexico, all other countries ) [no publications] SCI Number __________
PAYMENT OPTIONS: Make Checks Payable to SCI : We cannot process your credit-card order without the 3-Digit #
Visa____ MC _____ Card Account #: _________________ Expires: ___________________ 3 Digit # on Reverse side of card________
(Absolutely necessary)
Authorized Amount: $_________ Cardholder Signature ___________________________________________________________________
Please return this form with the appropriate fees to:
OKSSCI Memberships
P.O. Box 890307 , Oklahoma City Ok. 73189
Email membership@oklahomastationsci.org * Phone 580-609-0900 * Fax 800 -958-2983
Please print clearly and THANK YOU VERY MUCH for your support!
42
