Please renew your 2012 membership promptly. Complete and mail the form below with your check or money order to: Calumet-Keweenaw Sportsmen's Club, P.O. Box 283 - Calumet, MI 49913

Name: __________________________________________________________________
Address _________________________________________________________________
City, State Zip ____________________________________________________________
Phone: _________________ Email ____________________________________________

Please check preferred membership category:

___ Individual/Gift = $15
___ Student/Senior (65+) = $10
___ Family (Husband, wife, children under 18) = $25
___ Deer Feeding Friend (includes membership & Club T-shirt) = $40
___ Habitat Helper (Includes membership and cap) = $75
___ Conservationist (includes membership and golf shirt) = $100

Membership Dues ..............................................._________

Deer Feed Donation ........................................... _________

Club Support Donation......_________

Total Enclosed.................................................... _________

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