Membership Form Send the following information to: Casey Cassidy 1316 South Rouse Bozeman, MT 59715 Primary Member's Last Name: ___________________________First Name:____________________ Other Family Member (s): __________________________ __________________________ __________________________ __________________________ __________________________ __________________________ Address:_______________________________________________________ City:__________________________State: ________Zip:_________________ Phone #:_______________________ e-mail address:___________________________________________________ Please include dues for the following: Primary Member: $20.00 OR Family Membership: $25.00 (Don't forget to include the family member's name(s)!) If you have any questions you can e-mail Casey Cassidy.