Brevard Archers Membership Form
(Please print clearly)
Date:_____________________

Type of membership: New member_________      Renewal__________
Method of payment:   Check_______                        Cash__________

Last Name:____________________  First Name:______________  Mid. Int.:_____________

Address:____________________________________________________________________

City:___________________________  State:_________________  Zip:__________________

Home Phone:____________________________  Work Phone:________________________

Cell Phone / Pager:_______________________ email:_______________________________

Profession:_____________________________  Sponsor**___________________________

Previous Archery Club:     yes____   no____      Name of Club_________________________
FAA Member:                         yes____  no____      NFAA Member:  yes_____   no_____
NAA Member :                        yes____ no_____     ASA Member:     yes_____  no_____

Additional family members to be enrolled:

1._______________________________________    Age:_______________

2._______________________________________    Age:_______________

3._______________________________________    Age:_______________

4._______________________________________    Age:_______________

Dues: Single membership Adult (18 and over)  $60.00 per year
Single membership youth (18 and under) $50.00 per year
Family membership:  $70.00 per year

Note: Membership dues run from January through December and are not retroactive.

Renewals can be mailed to: Angie Olds. 4549 Canard Rd. Melbourne, Fl. 32934

New members must be sponsored** and bring application and payment to a monthly club
meeting.

Brevard Archers is a National Field Archery chartered club, and as such we strongly urge
all members to join the FAA and/or the NFAA.

For contact or club information visit:
www.brevardarchers.com

**Sponsor... Any current member of Brevard Archers who can observe the shooting
methods of the prospective member to determine that safe shooting practices and range
procedures are followed.