Print & Mail ___________________________________________________
Name: _______________________________________________________
Address: _____________________________________________________
City: ________________________________________________________
State: _______________________________________________________
Phone: ______________________________________________________
Email: _______________________________________________________

Banquet Package Membership & Dinner--> ....................................$60
Sponsor Membership & 2 Dinners--> ............................................$250
Bronze Sponsor Membership & 4 Dinners--> .............................. .$500
Silver Sponsor Membership & 6 Dinners--> ..................................$750
Gold Sponsor Membership & 8 Dinners--> ................................$1,000

Sponsors - will be in a special drawing where 1 gun will be given
away for every 8 sponsors and a chance on the featured gun.
Sponsor Gun Chances --> $250 (1), $500 (3), $750 (5) & $1,000 (7).
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Youth Memberships....................................................................$10
Each membership will create a chance on the youth gun drawing for
the purchaser.  Please include name & address for each youth
membership so our youth magazine can be delivered.  Youth
members must be 18 or younger.
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Number of Memberships
: _____________________________
If more than one membership, be sure to supply additonal name & address.
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Number of Additional Dinners: ____________________________
Additional meals are $25.
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Tickets on featured gun:_____________________________ 
Featured Gun   .......,,,,..........1 for $20 ticket   
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Tickets on our featured print:____________________
Redlin Print  ............. ........$5.00 for 1 or 3 for $10 ***************************************************************************
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We will have 20 guns on our program and several packages of ammunition.  Your tickets will be held at the door for you to pick up the night of the banquet.
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Make checks payable to Livingston County Pheasants Forever, 404 Morris Road, Dwight, Illinois, 60420..........................


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