BOOSTERAPP

"BUCKS BACKER" MEMBERSHIP APPLICATION

BE A PART OF THE EXCITEMENT THAT IS BUCKS BASEBALL! JOIN THE “BUCKS BACKER” BOOSTER CLUB TODAY!!! Membership period runs from June 1st to May 31st. yearly. FAMILY $25.00 INDIVIDUAL $15.00

NAME (OR FAMILY NAME): _______________________________

ADDRESS: _____________________________________________

CITY: _____________________________ STATE: ___________ ZIP: ____________

HOME PHONE: ________________ WORK PHONE: ________________

THIS APPLICATION FOR: _____ NEW MEMBER _____ RENEWAL

FAMILY______ INDIVIDUAL_______

You can be an activce participant or just a member. We appreciate your membership very much.

            Make Checks Payable to:    Waterloo Bucks Booster Club
                                                         P.O. Box 4124
                                                         Waterloo, IA 50704