Membership Application

A women’s organization to empower women
through awareness, education, & exposure to their
legal rights of self defense

 Applicant’s Name:___________________________ Cell Phone:__________ Home Phone: __________
 Mailing Address :____________________________ City, State: ____________________ Zip:_______
 Email: ____________________________________ Date of Birth: ______________
 Do you exercise your right to vote? Y / N
 Check off all topics you may be interested in helping with:
 __Education              __Fundraising/Merchandise
 __Membership           __Safety Awareness
 __Other, please explain
 Below please provide us with some basic information about yourself and your background; including interests, skills,etc_______________________________________________________________________
 What are your expectations of this group? ___________________________________________________
 How did you hear about us? ______________________________________________________________
 Do you currently belong to a sportsman’s club? If so, Which one?_________________________________


I have read and agree to follow all bylaws and code of conduct.
 Name (Please Print)_________________________________________________________
 Signature_______________________________________ Date:_____________________
 Membership Fee $40/year Junior (under 18) $20/year
 Cash or Check payable to: Women Unafraid; PO Box 896, Stone Ridge, NY 12484.


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