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To Receive Information About Joining:

Please fill out this form to receive information from our local chapter about joining Pheasants Forever, Lapeer Chapter. Your interest in PF is greatly appreciated, and we would like to get back with you as soon as we can. Thank You!

Please provide the following contact information:
First name
Last name
Middle initial
Title
Organization
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
FAX
E-mail
Please identify and describe yourself:
Date of birth
Sex Male Female
Have you previously/currently a member of:

Ducks Unlimited
PF (Different from this chapter.)
Other Wildlife Org. (Specify)