th e fiRSt: DOW"
wrlIi thoIa IIjJamisk tr-saUUj wr::stux., • tl.75 ttle. llU9h pl.,AtteR
ttIe oMAUevt pi.,A.tU!R. y,ilkjr'.tjerri¥ $2.35
IlE!'!BEltSHIP AP PLIC AT IO!f
1 "eAh, !OAk •• p plleaUon for In J . Pa tric k O'Mal 1, y ' . and I f ,,,,It ted I a«r, . to , h i d, by all rul .. , rfl su la Uo na and by - I e .. . of the club , &8 wd l • • the f ollowl nll tu... <d conda\"""
1. UpOn 'pproval of till •• ppll c alion , I IS["1O" t o poor the l UI of h O do U ," ($2. 00) .... aub,nlllp f
4. lta.bl l'II h l p . , be ... voked noti c e o r r"'." I n c u .. of a h conduct.
ru u. NA ill ( Pr in t ) "'''''' IDlE PHOIIE
EllPLOYID J Y ""'" " " ,
DATE BIRT H SPO ISlS ""I'n.: BlISINESS ADDRESS lIOII LON e EPlPLOI'ED