Braves 400 Club Membership Application
Date: __________________
Name: ________________________________________________________
Street Address: _________________________________________________
City: __________________________ State: __________ Zip: ____________
Phone (H): _____________________       Phone (W): ____________________
Email address: _________________________________________________
 Under 21          Over 21
Make $20 annual dues check payable (in US dollars) to Braves 400 Club
(international membership dues are $30 per year, payable in US dollars)
For questions, call 404-250-5015 and leave a message, or email membership@braves400.org
Annual membership runs from January through December regardless of the month you join.
Mail check and this form to:

Braves 400 Club
P.O. Box 7689
Atlanta, GA 30309