ww w .fairview sp ortsm an sclu b .com
Transcription
ww w .fairview sp ortsm an sclu b .com
MEMBERSHIP APPLICATION FAIRVIEW SPORTSMAN'S FISH & CAME ASSN. BOX 288, GRANBY, MA 01033 www.fairviewsportsmansclub.co m fro;l Rcad and fill out application porsl fro16 I llr,il E9 J-{ H ,9+ E7 H ?a 6= Ho a5 H and sign at the bottom. Plcasc print clearly I tp' (Plcasc Print) ^ = a <t r = City r( Occupation zip Statc (6 U, Phonc Childrcn (undcr l6 yrs.) Agcs >- r!u r) Ll ui: -X r -- a <g F O a orE ,{rdo E ;"J 9? -l E-nrail Addrcss E9 p Sponsorcd by: Mcmbcr Otl'lccr INTERESTS: Hunting tr, Fishing D. Riflc D, Pistol [, Trap D a { ;s Archcry E, Turkey Shoots E, '1 F Othcr E Do you havc a valid FID or Liccnsc to Carry Fircarnrs? ^r9 rloG llavc you cvcr had your mcmbcrship su;pcndcd or revokcd in this or any otlrcr trL sportsmcn's €k E r=:9 -=-.=5 PL- ='fl^ E LJ! E CONDITIONS z'ee h.! o > A Ao v,^a>,L 9c! zAE a .L Vr z o z 7 ,Y, .E oa laws. rules, rcgulations and by-laws of this statc and of thc Fairvicw Sportsman's Fish & Canrc Association. I also undcrstand that any untruthful statcmcnt abovc and/or any failurc to abidc by tlrc abovc club rulcs rnay bc causc forthe rcvocation of my mcmbcrship. WITNESS ] E J. 3 :ortv I 3 F7 t;< Z 5:r- L- B'9 = 3; i*6 '*a'z E'i '! -' d'Y a 1[ *E c f A 5E t - q *=. z SIGNATLJRE ACCEPTED p OT- M EM BERSHIP New Member Dues paid October l't to December 31't is also for the next year l" year is Probationary 4 hrs. Service to the CIULr Per Year if I ccrtify that admrttcd to mcmbcrship. I will comply with all cxisting gamc o aE='--. L tf lf ycs. Whcrc, Whcn, & Why'l Arc you an N.R.A. Mcrnbcr -o9 =3q_Eu r=oL.xE LJr^ organization? o- t d.x ^ E L ae-o v 3 lias it cver bccn suspcnded or revokcd? :tn A5 !-, DATI] OFFICER tr='aA!-1 sY JY HE''nH i.l J;12 < &H X xG- o-.<-(/] t!63+ l-ist any skillcd rvork you can perfornr (carpcntry, plumbing, ctc.) (D rD= -iJ ?. tL A vat tD 7 5a .-: -6 "C,=tr = tri -{ t! Addrcss d t/POL D) D, Spousc I: =d 'd: rn ea;r G :d E Namc ooD (E 9{ I =-