WBH County Representative
Application Form
Name______________________________________________ WBH Member # Street____________________________________ City _______________________________________ State____________ ZIP____________________ County ____________________________________ Phone Home (_____)______________ Cell (_____)______________ Work (_____) _________________
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List Local Archery Club Memberships:
List Local Sportsmen Club Memberships:
List Other Statewide Organizations:
List any offices held:
Relevant certifications:___ Hunter Safety Instructor ___ Bow Safety Instructor ___ NASP ___ Other: __________________________________________________________________
List Volunteer Experiences:
Mail form to WBH PO Box 240 Clintonville WI 54929 or Fax form to 715-823-1385.
Feel free to copy this form for family members and friends!
List Local Archery/Sportsman’s Club Memberships:
List Other Statewide Organizations:
Relevant certifications: ___ Hunter Safety Instructor ___ Bow Safety Instructor ___ NASP
___ Other: __________________________________________________________________
I would like to volunteer my services for: ___ Office Projects/Special Mailings ___ Local Archery-related Events ___ New Lisbon Broadhead Shoot ___ Madison Deer/Turkey Expo ___ Convention ___ Conservation Congress Spring Hearings ___ Green Bay Deer Classic
___ Other: ____________________________________________________________________________________________
Mail form to WBH PO Box 240 Clintonville WI 54929 or Fax form to 715-823-1385.
Feel free to copy this form for family members and friends!