Membership Application
for
Northern York County
Game & Fish


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

                                                                                                             
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