Blair Athletic Booster Club

Membership Form

2010-2011

Name:_________________________________________

Address:_______________________________________

Phone Number:_________________________________

E-mail Address:_________________________________

Yearly membership fee is $25.00

paid by check___(ck#_______) cash______

I would like to help with fundraising activities. Yes____No___

Please print and mail to:

Blair Athletic Booster Club

c/o Christy Gray

PO Box 108

Blair, OK 73526