Membership Application / Renewal Form
The dues for the year_ 2010______ are now being collected.
$60.00
New Member
$40.00
for membership dues
paid before
December 31.
$45.00
for membership dues
paid after
December
31.
$
15.00 for Senior citizens
(age 62 or older) paid before December 31.
$20.00
for Senior citizens
(age 62 or older) paid after December 31.
NEW MEMBERSHIP FEE INCLUDES A $20.00 FIRST YEAR INITIATION FEE.
Additional cards for family members under age 16:
ADDRESS:___________________________
NAME:_____________________ AGE:_______
CITY:_______________________________
NAME:____________________AGE:_______
STATE:_____________________________
NAME:____________________ AGE:_______
ZIP:_________________________________
NAME:____________________ AGE:_______
PHONE:______________________________ NAME:____________________
AGE:_______
LICENSE
PLATE:_______________________
E-MAIL
ADDRESS:
New
members please circle following area of interest:
Hunting
Fishing Archery
Rifle
Range
Shotguns (clay shooting)
Sponsors
(please list 2)___________________________________________
TO
HELP KEEP THE CLUB'S EXPENSES TO A MINIMUM. TO RECEIVE YOUR
NEW MEMBERSHIP
CARDS PLEASE ENCLOSE A SELF ADDRESSED STAMPED
ENVELOPE
OR PICK UP YOUR CARDS AT ANY CLUB MEETING. MEETINGS ARE
HELD THE 2ND
MONDAY
OF EACH MONTH.
Please return this form, SASE and a check made payable to Frontier Archery Club to:
Frontier
Archery Club
We plan to use E-mail to
communicate with our
c/o
Allen Leets Jr.
members rather than
postal mail. Between
meetings.,
361
Rosecliff
Drive
please check out the
club's website at:
Douglassville, PA 19518
www.frontierarcherv.com.
FOR OFFICAL USE ONLY BELOW THIS LINE_____________________________________ .
FIRST
READING________________________
SECOND
READING______________________
MEMBERSHIP
CARDS SENT_____________