Page 117 - OSCSCI 39th Annual Banquet

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: _________________________________________________

_____$65 - Please enroll/renew me in 1 year Chapter and National Membership
I support the Safari Club International's and the Oklahoma Station Chapter's goals of conserving wildlife and
protecting the hunter, and … 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
National Three-year ____$ 150 (USA, Canada, Mexico) ____$ 225 (all other countries)

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________
( A b s o l u t e l y n ecessary)
Authorized Amount: $_________ Cardholder Signature ___________________________________________________________________

Please return this form with the appropriate fees to:

OKSSCI Memberships

11600 S Sunnylane Rd, OKC OK &3160
Email events@oklahomastationsci.org * Phone 580-609-0900
Please print clearly and THANK YOU VERY MUCH for your support!

Signup online at: http://www.oklahomastationsci.org/membership.html

Come Join In: http://www.oklahomastationsci.org