COLUMBIA FISH AND GAME ASSOCIATION



|COLUMBIA FISH AND GAME ASSOCIATION | |

|P.O. BOX 96 SILVER SPRING, PA. 17575 |OCCUPATION................................................................ |

| |SPECIAL SKILLS....................................................................|

|MEMBERSHIP APPLICATION | |

| |DO YOU AGREE TO COMPLY WITH ALL RULES AND REGULATIONS OF THE CLUB? |

|NAME……………………………………………………..................... |Circle one: YES NO |

| | |

|STREET…………………………………………………...................... |ARE YOU LEGALLY ALLOWED TO POSSESS A FIREARM? |

| |Circle one: YES NO |

|CITY……………………………. STATE………………..................... | |

| | |

|PHONE……………………………………………………................... |……………………………………………………………………. |

| |Signature DATE |

|EMAIL………………………………………………………………… |If accepted as a member, it is recommended that you join one of the many |

| |committees of the club. It will not only help you, it will help the club. |

|INITIATION FEE…………$50.00………………. |----------------------------------------------------------------------------- |

| |Rules are posted at all ranges. |

|FIRST YEAR DUES…$50.00…………………….. |The club will not be responsible for any accidents to members or guests while on |

| |the club grounds. |

|ISSUE DATE …………/…........../………...... |Regular club meeting are held every third Monday of the month at |

| |7:30 pm at the clubhouse. |

|…………………………………….......................................................... |Facilities consist of a recreation building with indoor archery and smallbore |

|SPONSOR NAME PRINTED |rifle ranges, pavilion with a fireplace, outdoor pistol and rifle ranges, outdoor |

| |archery targets and woods course, hand trap range, and Wednesday night trap at the|

|….………………………………............................................................... |trap house. Guests must be accompanied by a current member. |

|SPONSOR SIGNATURE | |

| | |

|ANNUAL DUES MUST BE PAID BY OCTOBER 1ST OR ENTRANCE CARD WILL BE DEACTIVATED | |

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