Unami Fish and Game New and Renewal Application
Please complete ALL sections of the renewal application; it is important that we have all your current
information for our records. Please PRINT clearly if we can’t read the information we won’t be able to send your
new card.
All Renewals must be postmarked by 12/31/16 or you will be charged the new membership price.
2017 Membership Fee’s
New Active Member $60.00 (age 18 and older)
New Junior Member $5.00 (age 12 to 17)*
Renewal Active Member $45.00 (age 18 and older)
Renewal Junior Member $5.00 (age 12 to 17)*
MAIL Application and Fee to; UNAMI FISH and GAME, PO BOX 805, EMMAUS PA. 18049
Membership Type
 New Active
 Renew Active
 New Junior
 Renew Junior
First Name
Last Name
Middle Initial
Date of Birth
Home Address
City
State
Zip
Home Phone
Cell Phone
E-mail
Occupation
•Junior must be accompanied by an Active Member while on the grounds!
THIS AREA FOR CLUB USE ONLY
Received by:
Date:
Amount:
Cash or Ck #
Applicant Name