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Booster
Club Registration Form
(Print this
form, fill it out, and mail it with a check to the address below)
New-------- ___ Family $20-----___ Single $10
Renewal--
___Family
$10----- ___Single
$ 5
Member Name: ______________________________________Birthday (mo/day/yr) ____ / ____ / ____
Family Member Names: ________________________________Birthday (mo/day/yr) ____ / ____ / ____
_____________________________________________________Birthday (mo/day/yr) ____ / ____ / ____
_____________________________________________________Birthday (mo/day/yr) ____ / ____ / ____
_____________________________________________________Birthday (mo/day/yr) ____ / ____ / ____
_____________________________________________________Birthday
(mo/day/yr) ____ / ____ / ____
Address: _______________________________________________________
City, State, Zip: _______________________________________________________
Phone Number(s): _______________________________________________________
E-Mail Address(s):
________________________________________________________
Send Checks to: Idaho Steelheads Booster Club P.O. Box 9241, Boise, ID 83707