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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________________________________________ Web Site:____________________________________________________________

Signature: _________________________________________________

Sponsor’s Name: __________________________________________________ Sponsor’s Member #:______________________________

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. MUST be member of
National to be a Member of Oklahoma Station Chapter.

or Please enroll me as an Oklahoma Chapter Membership for Free -- 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!

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