NORTHWEST RAIDERS BOOSTER CLUB - OFFICIAL BOOSTER CLUB OF THE OAKLAND RAIDERS







 

PLEASE FILL OUT ALL INFORMATION
DATE OF YOUR FILING
METHOD OF PAYMENT:
PAYPAL (BELOW)
CREDIT / DEBIT CARD (USE SQUARE LINK BELOW)
CHECK /M.O. (FORM WON'T BE PROCESSED TIL RECEIVED)
MAIN ADULT NAME
FULL MAILING STREET ADDRESS
CITY, STATE & ZIP CODE
BIRTHDAY (ie. JAN 1, 1960)
MAIN ADULT CONTACT NUMBER:
MAIN ADULT E-MAIL ADDRESS:
MAIN ADULT SHIRT SIZE:
WOULD YOU LIKE TO BUY AN EXTRA MEMBERSHIP SHIRT? PLEASE TYPE THE SIZE AND STYLE BELOW
WERE YOU A PAID CLUB MEMBER IN 2017?
Yes
No
WHAT YEAR DID YOU JOIN THE NWRBC (ie: 2006)? IF FIRST TIME TYPE "NEW"
HOW DID YOU FIND US / REFERRED BY?
EARLY MEMBERSHIP DRIVE: PICK UP SCHEDULE FOR JULY 8th AT THE SUMMER BBQ. IF NOT , SELECT SHIPPING AND BE SURE YOU CHOICE EITHER ONE OR MORE PACKETS.
WILL PICK UP AT THE SUMMER BBQ
NEED MY ONE PACKET SHIPPED TO ME ($5-SHIPPING)
NEED MY MULTI PACKETS SHIPPED TO ME ($10-SHIPPING
SPOUSE / 2nd ADULT INFORMATION
SPOUSE FULL NAME
SPOUSE BIRTHDAY (ie. JAN. 1, 1960)
SPOUSE CONTACT NUMBER
SPOUSE EMAIL ADDRESS
SPOUSE SHIRT SIZE
WOULD YOU LIKE TO BUY AN EXTRA MEMBERSHIP SHIRT? PLEASE TYPE THE SIZE AND STYLE BELOW
WAS 2nd ADULT / SPOUSE A NWRBC MEMBER IN 2017?
YES
NO
WHAT YEAR DID YOU JOIN THE NWRBC (ie: 2006)? IF FIRST TIME TYPE "NEW"
CHILDREN MEMBERSHIP INFORMATION
KID #1 NAME
KID #1 BIRTHDAY (ie. JAN 1, 1960)
KID #1 YOUTH OR TODDLER?
NONE
TODDLER (AGES INFANT TO 5YO) $10 SHIRT ONLY
YOUTH (AGES 6YO TO 15YO) $20 MEMBERSHIP PACKET
KID #1 SHIRT SIZE
KID #2 NAME
KID #2 BIRTHDAY (ie. JAN. 1, 1960)
KID #2 YOUTH OR TODDLER?
NONE
TODDLER (AGES INFANT TO 5YO) $10 SHIRT ONLY
YOUTH (AGES 6YO-15YO) $20 MEMBERSHIP SHIRT
KID #2 SIZE
KID #3 NAME
KID #3 BIRTHDAY (ie. JAN. 1, 1960)
KID #3 YOUTH OR TODDLER?
NONE
TODDLER (AGES INFANT TO 5YO) $10 SHIRT ONLY
YOUTH (AGES 6YO-15YO) $20 MEMBERSHIP SHIRT
KID #3 SIZE









(SELECT ALL THAT APPLIES):


2018 MAIN MEMBERSHIP T-SHIRT
MEMBERS ONLY SHORT SLEEVE BLACK T-SHIRT
Price: $35.00 $30.00
2018 2nd ADULT MEMBERSHIP T-SHIRT
MEMBERS ONLY ADULT BLACK T-SHIRT
Price: $25.00 $20.00
2018 YOUTH MEMBERSHIP
YOUTH AGES 6YO-15YO
Price: $20.00
TODDLER MEMBERSHIP
TODDLER BOYS OR GIRLS AGES INFANT TO 5YO SHIRT ONLY
Price: $10.00
ADDITIONAL T-SHIRT
ADD TO YOUR MEMBERSHIP COLLECT WITH ANOTHER T-SHIRT AT A DISCOUNT PRICE WITH MEMBERSHIP
Price: $15.00
REPLACEMENT CARD
USE YOUR CARD TO REP THE NORTHWEST AS A PAID STRONG MEMBER
Price: $2.00
NORTHWEST RAIDERS LANYARD
WEAR THIS AROUND YOUR NECK OR WEAR WITH YOUR KEYS
Price: $3.00
NW RAIDERS LANYARD (2)
WEAR THIS AROUND YOUR NECK OR WEAR WITH YOUR KEYS
Price: $5.00
SHIPPING ONE
COVER ONE MEMBERSHIP PACKET.
Price: $5.00
SHIPPING TWO
COVER 2+ PACKETS
Price: $10.00











UPDATED:  SUNDAY, APRIL 22, 2018


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