NWRBC20@gmail.com - Membership Sign Up
NORTHWEST RAIDERS BOOSTER CLUB - OFFICIAL BOOSTER CLUB OF THE OAKLAND RAIDERS




 

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?
METHOD OF PAYMENT:
PAYPAL (BELOW)
CREDIT / DEBIT CARD (USE SQUARE LINK BELOW)
CHECK /M.O. (FORM WON'T BE PROCESSED TIL RECEIVED)
PICK UP / SHIPPING OPTION:
WILL PICK UP AT THE VIEWING VENUE
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
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
2018 MAIN LONG SLEEVE T-SHIRT
MEMBERS ONLY LONG SLEEVE BLACK T-SHIRT
Price: $40.00
2018 2nd ADULT MEMBERSHIP T-SHIRT
MEMBERS ONLY 2nd ADULT BLACK T-SHIRT
Price: $25.00
2018 2nd ADULT LONG SLEEVE
MEMBERS ONLY 2nd ADULT LONG SLEEVE BLACK T-SHIRT
Price: $30.00
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
ADDITIONAL LONG SLEEVE SHIRT
GET READY FOR THE FALL WITH AN EXTRA SHIRT. .
Price: $20.00
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 PACKET
COVER ONE MEMBERSHIP PACKET.
Price: $5.00
SHIPPING TWO PACKETS
COVER 2+ PACKETS
Price: $10.00








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UPDATED:  FRIDAY AUGUST 17, 2018 


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