Membership Application for Northern York County Game & Fish
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Name_________________________________
Address_______________________________
City/ Street____________________________________Zip Code____________________
Telephone#________________________________ Date Of Birth__________________
Adult $20.00___________________Junior $2.00______________
Yearly Dues $20.00___________________ Initiation Fees $15.00 for adult Total cost $35.00
Yearly Dues $2.00 ___________________Initiation Fees $ 2.00 for Juniors Total cost $4.00
"I AM LAWFULLY ENTITLED TO KEEP AND BEAR ARMS"
________________________________________________________________________________________________
Signature Date
This application is for NEW MEMBERSHIP only.
Initial yearly dues for an adult are $15 Initiation + $20 Yearly membership for a total due of $ 35.00 the first year, each consecutive
year after that you will pay a membership renewal fee of $20 to keep your membership in good standing.
Initial yearly dues for a Junior member is $2.00 initiation + $2.00 Yearly membership for a total due of $4.00 the first year, each
consecutive year after that you will pay a membership renewal fee of $2.00 to keep your membership in good standing.
Once a junior member turns 18 years of age, that year at renewal time they will then pay the adult renewal cost to continue as an
adult member of the club.
To become a member, print the above application out and Mail along with your membership fees and a SASE to :
Tanya Knaub
Northern York Co. Game and Fish Association, Inc.
1595 Jug Road
Dover, PA 17315