JOIN THE STANDBY'S!!! APPLICATION FOR STANDBY MEMBERSHIP Name:_______________________________________ Address:_____________________________________ _____________________________________________ E-mail address:________________________________ Telephone:   (____)_____________________________ Date of birth:__________________ (year optional) Occupation/company:___________________________ Type of membership:    Active_____ ($20.00/year)                              Non-active_____ ($15.00/year) Check here if this is a Renewal_____ There is a $3 one-time initiation fee for new members Make checks payable to Blackhawk Standby's Inc. and mail to:                  Nika Alex                                    11555 Settlers Pond Way                                                             Unit 2B                                    Orland Pk, IL. 60467                                    (708)-479-7967