Safari Club International
 Northeast Wisconsin Chapter
 Membership Application

 Back to Membership
NEWI SCI CHAPTER - ONE YEAR MEMBERSHIP: USA, Canada & Mexico  $90
(This includes the $65 membership for National plus $25 for NEWI Chapter dues)
SCI NATIONAL LIFE MEMBERSHIP - Regular Life Membership:
USA, Canada & Mexico $1,500 / Spousal $750
SENIOR SCI NATIONAL LIFE MEMBERSHIP - 60 Years plus:
USA, Canada & Mexico $1,250
SCI NATIONAL ONE YEAR MEMBERSHIP: USA, Canada & Mexico $65
SCI NATIONAL THREE YEAR MEMBERSHIP: USA, Canada & Mexico $150
SABLES THREE YEAR MEMBERSHIP: Regular Membership  $75
SABLES LIFE MEMBERSHIP: Regular Membership  $500 / $250 if SCI Life Member

TOTAL
Pay by check:          "Please make checks payable to NEWISCI Chapter"
Pay by Credit Card:   Visa   MasterCard   Am Express   Discover
Card No:     Exp Date:
 
Signature:  ______________________________________________________________
 
Safari Club Member Number if you are already a National Member:
Name:
Address:
City:
State:    Zip:
Phone No:     email:

Fill out form, print,
enclose payment and mail to:   

Kevin Ott
Director of Membership
210 E 15th St
Kaukauna, WI 54130