Printable Membership Application

Please accept my application for membership into The Ohio Huskie Muskie Club, Inc. I understand my annual dues are $15.00 per person or $25.00 for a family membership a year. Family membership is considered husband/wife and all children 16 years and under. For family application, please list the names of all family members, and include birth dates and ages of all family members under the age of 17 at time of application. If I wish to continue to receive Club benefits and Club mailings, my dues are to be paid annually.

Date:

(      ) Individual ($15)               (       ) Family ($25):(please list all names, ages and birth dates of children under 17)

Name 1:

Name 2:

Name 3:

Name 4:

Address:

City:

State:

Zip:

Phone:

E-Mail:

Type of Membership:   (     ) Regular        (    ) Honorary         (    ) Lifetime

Amount Enclosed:     $

 Print out and mail to: 

Ohio Huskie Muskie Club, Inc.  -   10327 N. Bramblewood Road   -  Perrysburg, Ohio 43551

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