Team Oso
Membership Form

*please include $3.00 extra for shipping of hat and decal
*please print

 

Name:________________________________________________

 

Address: _____________________________________________

 

City: ________________ State: __________ Zip:______________


Telephone Number: (_______)__________-_______________

 

Email Address: _________________________________________

 

Date: ______________________

 

Handle (Sir Name): ________________________________

 

How Did you Hear about us: _______________________________

 

Welcome Aboard!