Camp Creek Threshers Membership
FormP.O. Box 422
Waverly, NE 68462
Circle one: Single $20 Family $30 Cash or check Membership card given ___
Please fill out and mark what committee you would like to be on.
Name: __________________________________________________________
Spouse Name: _________________________________ Joining as member Yes____ No ____
Names and ages of children under age 16: Name: __________________ Age: ______
Name: ________________ Age: ______ Name: ________________ Age: ______
Address: ________________________________________________________
City: ______________________________ State: ___________ Zip: __________
Phones:Home: _________________ Cell: _________________ Work: _______________
E-mail address: ____________________________________________________
(for use to receive monthly newsletter)
__ Advertising __ Food Stand __ Raffle __ Announcers __ Gas Engines
__ Recycling __ Antique Tractors __ Gas Station __ Restrooms __ Baker Fan
__ Grain Hauling __ Rock Crushing __ Baler/Bailing __ Grist/Grinding Mills __ Saw Mill
__ Bee Hut __ Grounds/Flowers __ School __ Blacksmith __ Handicap Parking
__ Shellers __ Buttermaking __ Harness/Saddles __ Shocking/Hauling __ Campers/Gate
__ Heavy Equipment __ Signs __ Carts __ Horses __ Snyder Building
__ Children’s Playground __ Ice Cream Stand __ Steam Building __ Church/Services __ Information Booth
__ Steam Crane __ County Store __ Kiddie Pull __ Steam Engines __ Craft Building
__ Main Gate __ Summer Kitchen __ Depot __ Memorials __ Threshing/Bundles
__ Drug Store __ Parade __ Tickets __ Entertainment __ Popcorn
__ Tractor Pulls __ Exhibitors Gate __ Post Office __ Trams __ Flea Market
__ Print Shop