2008 Membership Renewal Application
(Must be an existing WBR Member to submit this request)

In order to submit this renewal application via our online renewal system, we require that ALL fields be completed. Incomplete applications will not be accepted and could jeopardize any attempts you make to attend the annual Barrelnanza Finals.

***At this time, ONLY Individual Membership renewals can be processed through our online system.***

GENERAL INFORMATION:

 

Name:		WBR#
Address:
City:		State:		Zip:
Phone Numbers:
		Home:
		Office:
		Cell:
E-Mail:
RENEWAL FEE:			Total Due: $60.00

METHOD OF PAYMENT:

Paypal (paypal button on next screen)Submit this form, then you will be offered the option to pay via paypal on the following page.

Credit Card (provide information below) (FOR THOSE NOT PAYING VIA PAYPAL): Name on Card: Billing Address: City: State: Zip: Account Number: Expiration Date: Do you give permission to WBRP to charge your credit card account $60.00 for your annual renewal fee? Yes, Charge my account or: No

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