Membership Application

To join the Kentuckiana Chapter Safari Club International , fill out the application below, print and return to Kentuckiana Chapter Safari Club International, P.O. Box 221181, Louisville, Kentucky 40252.

Membership in the Safari Club International and Kentuckiana Chapter includes a subscription to SAFARI Magazine which is the official publication of Safari Club International. This journal of big game hunting, conservation and wildlife is published bi-monthly and worth the price of membership alone.

To obtain more information about SCI International, visit their web site at http://www.safariclub.org/

Please Enroll Me in a one-year introductory offer. Membership for Safari Club International is listed below. With your International membership, the first year membership for the Kentuckiana Chapter will be waived. A $25.00 value.

Payment to Accompany Application:

$55 - U.S., Canada, Mexico $80 - Overseas
$20 - Youth (17 years or less) $30 - Sables

 Date of Application: 

First Name:    Middle Initial: Last Name:

Birth Date:   

Address:   

City:    State:    Zip: 

Country:    Home Phone:  Business Phone:

E-Mail Address:    Spouse's Name 

Sponsor's Name & Membership No.: 

Make Checks payable to: Kentuckiana Chapter SCI and send to the above address.

Enclosed is $

 Thank you for becoming a member and we look forward to meeting you at one of our many chapter functions!

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