SHIPPENSBURG FISH & GAME ASSOCIATION

 

MEMBERSHIP APPLICATION

 

Name: ____________________________________________ Date: _____________

 

Street Address: ________________________________________________________

 

City: ___________________________________ State: _______ Zip: ____________

 

Phone: (____) ____-_______e-mail: ____________________ Paid: ______________

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INTERESTS

 

                    _____      Archery                                             _____     Black Powder

 

                    _____     Silhouette                                           _____      Trap

 

                    _____     Fishing                                               _____     Rifle

 

                    _____     Pistol                                                  _____     Dog Training

 

                    _____     Other _________________________________________________

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Our regular monthly meeting is the second

Tuesday evening of each month, 7 P.M.

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I understand it is my responsibility to become familiar with the rules and regulations of the Shippensburg Fish & Game Association, and to adhere to those rules while using the facilities.

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I recommend this applicant for membership. Must have 3 sponsors.

 

Sponsor’s Signature: ______________________________________________________

 

Sponsor’s Signature: ______________________________________________________

 

Sponsor’s Signature: ______________________________________________________

 

The Board of Directors can revoke membership at any time for any reason. All prospective members must attend the meeting with at least one sponsor when being voted upon.

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I am not affiliated with any group that goes against the policies of the Shippensburg Fish &

Game Club.

 

I hereby testify that the application is truthful to the best of my knowl­edge.

 

Signature: _____________________________________________________________________