Western Maine Fish & Game Club Membership Application 2010 - 2011
Name
Mailing Address
City
State
Zip Code
Phone
E-mail
If the club wanted to run some sort of function to earn money, could we contact you to help?_____
If the club needed a work party at the shooting range, could we contact you for help?______
What interests do you have (please check all that apply):
HUNTING _______
FISHING
_______
ICE FISHING _______
TRAP SHOOTING _______
ARCHERY
_______
TARGET SHOOTING _______
PRINT THIS APPLICATION, FILL OUT AND MAIL IT TO:
WESTERN MAINE FISH & GAME CLUB
PO BOX 855
HARRISON, MAINE 04040
COST IS $20.00 SINGLE,
$25.00 IMMEDIATE FAMILY (SAME HOUSEHOLD)
LIFETIME MEMBERSHIP: $250.00
MAKE CHECKS PAYABLE TO: WMF&G CLUB.
FOR OFFICE USE ONLY:
AMT PAID
DATE RCVD
MAILED CARD
SIGNATURE___________________________________ DATE___________________