WAR Membership Request Form

Ranger Joe's

Ranger Joe's
4030 Victory Drive
Columbus Georgia, 31903

Join WAR

First Name		Dues: $25=1 Yr, $65=3 Yrs, $100=5 Yrs. $250=LIFE.
Middle Name (Int)		Frag Order included in all dues.
Last Name		Frag Order, only, = $7.00/yr, max term of subscription = 5 yrs.
Street Address		Life dues may be made in four payments within one year.
City
State
Zip Code
Email Address
Master Card Visa	This site uses SSL technology to ensure safe and secure transactions of personal information.
Card Number		0000 0000 0000 000
Expiration Date		00/00
PIN		000
Total Amount Paid		00.00
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