Member Registration Form

SCI Illinois & Chicago Chapter Membership Registration
Sign up today and you & your sponsor will be eligible to win a New Gun. Winners are drawn at our annual Christmas Brunch in December. Winners not be present to win.
Todays Date:*

MonthDayYear
Date
New or Renewing Member:*

NewRenewal
Sponsors Name (If New Membership):

First NameLast Name
Only current members (National & Chapter) in good standing are eligible to sponsor new members.
New Member Name:*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email*
example@example.com
Home Number
Cell Number*
Work Number
There is a 3% fee on card transactions, please choose which payment method you would prefer.*

SEND CHECKPAY BY CARD

My Products*

1 Year NEW MembershipFOR NEW MEMBERS ONLY $35 National Dues Plus $30 Chapter Dues

$65.00

3 Year Special$150 National Dues and $75 Chapter Dues

$225.00

National Senior Life MemberMust Be 60 Years Old Or Older

$1,250.00

Chapter Senior Life MemberMust Be 60 Years Old Or Older

$300.00

National Life Member

$1,500.00

Chapter Life Member

$600.00

Subtotal

$0.00

Tax

$0.00

Total

$0.00

Please Choose Desired Membership:*

1 Year NEW Membership$65($35 National dues plus $30 Chapterdues)3 Year Special$225($150 National dues plus $75 Chapter dues)National Senior life member$1,250(60 years and over)Chapter Senior life member$300(60 years and over)National life member$1,500Chapter life member$600
Total Check Payment Due:
Membership is not considered active until check is recieved.

Make checks payable to: SCI Illinois & Chicago Chapter

Send checks too: 38864 N. Fairfield Rd. Lake Villa, IL 60046
As a member of the Illinois Chapter, I would be interested in helping in the following areas:

FundraisingSocial Events/Hunts, etc.Humanitarian ProjectsConservation ProjectsYouth and Education ActivitiesWebsite or NewsletterMembership RecruitmentProtecting Hunters' RightsPublicity/Media Relations
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SCI Illinois & Chicago Chapter Membership Registration