NEW DIVA Membership Registration Form

 

I am A NEW Member


First Name:   Last Name: Spouse:

Address:  

City:  State:    Zip:   Country:

Cell Phone: Alternate Phone:

Occupation:  

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

Email Address:

Hunter Safety Certificate? Yes No       Sponsor's Name:
(required for all hunts)

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!

"How did you learn about the DIVAs?  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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