nlfg membership renewal formnlfg.org/.../membership_forms/2018_membership_renewal2.pdfnlfg...

2017CardNumber:FullName:StreetAddress:City: State: Zip: -Phone: Email: @LicensePlate#:

PresentOccupation:Retired? YESNO AllNRAMember? YESNO LakeVeteran? YESNO YESNO RangeBirthDate: Ifsoinwhatarea:

ArcheryYouth

Other

NLFGCPOBOX41

N.LAWRENCE,OH44666-0041

MEMBERSIGNATURE: DATE:

SPOUSESIGNATURE: DATE:

Newfor2018:RECEIVEADISCOUNTONYOURRENEWALFEES.FOREVERYNEWMEMBERTHATYOUREFERTONLFGANDBECOMESAN

OFFICIALMEMBERYOUWILLRECEIVE25%OFF.FORMOREINFORMATIONCONTACTTHEOFFICEAT:nlfgoffice@gmail.com

DuesincreaseapprovedNov.2016effectiveApril1st,2017

BysigningtheaboveformyouverifythatyouagreewiththeRangeSafetyRulesandyourformwillbekeptonfileatNLFG

Ifyouwouldliketoreceiveyour2018MembershipCardinthemailpleasesendaselfaddressedstampedenvelopealongwithyourRenewalformanddues

Spouse:

CREDITCARDSACCEPTEDATANADDITIONAL3%SERVICECHARGE

Regular:$232.00includingSalesTaxSenior:$126.00includingSalesTax

IfpaidApril1storlater($20latefee):

NLFGMembershipRenewalForm

PLEASEREMITPAYMENTANDRENEWALFORMTO:MAKECHECKPAYABLETO:

NLFGC

Regular:$212.00includingSalesTaxSenior:$106.00includingSalesTax

TobepaidpriortoApril1st:

ContactInformation

ClubInterests

ShotgunSports

Areyouwillingtohelpwithmaintenance?

OtherInformation

YouqualifyforSeniorMembershipif62asofJanuary1,2018

MembershipRates