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Membership Application
Please print and then fill out the form below including a check made
out to the "Utah Pigeon Club" and mail the following address:

Matt and Dee Williams
6122 Triple Crown Lane
Herriman, UT 84096

Name: ____________________________________________________
Address: ____________________________________________________
City: ____________________________________________________
State & ZIP: ____________________________________________________
Phone: ____________________________________________________
Email: ____________________________________________________

Please place an "X" next to your chosen membership.

Junior Membership: (18 and younger) $5.00 _______
Senior Membership: $15.00 _______
Family Membership:
(2 votes)
$20.00 _______


Dues run yearly from January 1 to December 31st.

Signature: ____________________________________________________________

Print Name: ___________________________________________________________

The Utah Pigeon Club would like to welcome you to the club!
Thank you for your membership!


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