DIVA Membership Registration Form

 

First Name:      Last Name:    Spouse:

Address:        

City:                State:    Zip:    Country: 

Cell Phone:   Alternate Phone:   

Occupation:  

Birth Date:     Month:    Day:   Year (optional):

Email:           

Hunter Safety Certificate?  Yes   No      Sponsor's Name:

Your Interests (check all that apply)

New Shooter Handgun Rifle Shotgun Fishing Hunting
Archery Skeet Trap Sporting Clays 5-Stand NRA Certification

Black Powder 		   

Volunteer Interests (check all that apply)

Area Liaison (If outside DFW) Event Photography Clinics Socials
Writer (opportunity to be published in the DIVA Magazine) Christmas Party Annual Trip

Booth Volunteer at Extravaganzas and Events 		Telephone Committee DIVA Roster

Tell us in what areas of hunting, shooting, archery, instructing, etc. you are interested.  Feel free to elaborate!

                    

 

After completing this form you will be sent to a page where you can choose your level of membership and pay your dues via Pay Pal. 		 
     
 
 
     
 
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