Application

Wawarsing Rod & Gun Club Application for Membership

Enter and submit your information below - then follow the instructions on the next page.

Name


First	MI	Last

Address

City, State, Zip

Phone

Date of Birth

Do you hold a current hunting or fishing license? Are you a member of the NRA?

To what other Gun Clubs
do you belong?

Sponsored By:

Email Newsletter

Application Fee

Membership Fee	$ 50.00
Initiation Fee (One Time)	$ 50.00 .
Total	$100.00

Applicants must be sponsored by a current member for membership consideration
Members are expected to uphold the high standards of sportsmanship of the
Wawarsing Rod & Gun Club, Inc.
Unsportsmanlike conduct is grounds for being removed from the Club membership.

All Information is for Club use only.
Dues are to be paid in advance - by January 1st of each year

I agree to observe and abide by all Club rules and regulations.