Clan MacBubba Membership fee is $15 a year plus $6 S&H
(first year only) for certificate and card

Name/First Last
 
Email
 
Address
 
City/State/Zip
 
Phone{ie 555-555-5555)
 
Games
 
Male     Female      Critter

Print NAME as you want to appear on certificate
     

Additional Comments
     

PAY  BY     Check     Money Order