INDIANAPOLIS RACING PIGEON CLUB

APPLICATION FOR MEMBERSHIP

Send Request to one of the officers at officers@indyrpc.com

I AM REQUESTING MEMBERSHIP INTO THE INDIANAPOLIS RACING PIGEON CLUB . I UNDERSTAND THAT I WILL BE AN ASSOCIATE MEMBER FOR SIX MONTHS OR ONE FULL RACE SERIES, WHICHEVER IS LONGER. AT THIS TIME I WILL BE VOTED IN AS AN ACTIVE MEMBER.

NAME________________________________________________________________

ADDRESS____________________________________________________________

CITY_________________________________________STATE__________________

HOME PHONE_____________________CELL PHONE_______________________

E MAIL ADDRESS____________________________________________________

NAMES OF OTHER PIGEON CLUBS YOU HAVE BELONGED TO

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IS LOFT LOCATED AT ABOVE ADDRESS ________________

IF NOT LOCATION OF LOFT ADDRESS__________________________________

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DATE_____________________________