(PLEASE PRINT)
NAME______________________________ DATE of BIRTH_________________________
STREET__________________________________
CITY_____________________________STATE_______ZIP______________________
CLUB OR ORGANIZATION AFFILIATION (NRA___NFAA___NAA___GOAL___ETC)
ORGANIZATION MEMBER NUMBER______________________________
OCCUPATION_______________________________________________________________
TELEPHONE______________________________E-MAIL___________________________
Any legal resident of the United States, being of sound mind and good character may apply
for membership. Our aim is to encourage the conservation of natural resources. It shall be
our further object and purpose to forward the development of that characteristic of honesty,
good fellowship, self-discipline, team play and self-reliance, which are essential of good
sportsmanship.
YOUR INTEREST MUST BE CHECKED:
ARCHERY_____FISHING______
PISTOL___ RIFLE____L.T.C. #___________________F.I.D.#_____________________
IF PISTOL & RIFL,E CHECKED LIST LICENSE NUMBER & SHOW LEGAL I.D., PRIOR TO MEETING.
Membership type: _____$35.00 single _____$50.00 family _____$5.00 junior (15-18)
(Husband & wife & children under 15)
Signature_________________________________ Wife’s signature___________________________________
(If family application)
PROPOSED BY______________________________________
ALL NAMED POTENTIAL MEMBERS AND SPONSOR MUST ATTEND MEETING.
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