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Peoria Chiefs Boosters

5606 N Withershin Pt

Peoria, IL  61615

 

 

Peoria Chiefs Boosters

2008 Membership Application

 

 

Name(s):                       _________________________________

 

Phone:                           _________________________________

 

 

E-Mail:                           _________________________________

 

Address:                        _________________________________

                   (Street)

 

                                      _________________________________

                                (City)                                                                                                    (State)   (Zip)

 

 

                                       Family/Couple Membership $10.00 (2 Membership Pins)

 

 

                                       Single Membership - $8.00 (1 Membership Pin)

 

I would prefer to receive the newsletter via (choose one please):

 

                                       Postal Mail

 

                                       E-mail

 

 

I would love to volunteer to help!   ______ Yes ______ No

 

 

YOU MAY PICK UP YOUR HAT PINS AT THE BOOSTERS BOOTH AT ANY GAME