Membership

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We currently have nearly 500 members, with an annual membership fee of $30.00 due at the first of January. Please note that this is very inexpensive as some of the other clubs in the Rochester area charge into the hundreds of dollars and have a long waiting list of folks to join. We pride ourselves in an open membership decided on by the Board of Directors, and we encourage new membership. As a member, there is a discount in place for those who wish to rent a clubhouse for your event.

You can either print our Membership application (this will download a word document that you can later print out on your own printer) or use our PDF file download . You may need to first download the newest version out there for free by clicking on the image below.

DANSVILLE FISH & GAME

PROTECTIVE ASSOCIATION, INC.

P.O. Box 406, Dansville, N.Y. 14437-0406

2010 MEMBERSHIP APPLICATION

I do hereby submit my application for membership or renewal in the DANSVILLE FISH & GAME CLUB

Membership for January 1^st – December 31^st

PLEASE COMPLETE ALL SECTIONS

ARE YOU A:

New Member* ( ) ($30 Membership) Send Membership Application & Fee To:

Renewal: ( ) ($30 Membership) Dansville Fish & Game

Jr. Member ( ) ($ 5 Membership) P.O. Box 406

Dansville, NY 14437-0406

NAME: __________________________________________________________________________________

ADDRESS: ______________________________________________________________________________

CITY, STATE, ZIP +4: ______________________________________________________________________________

PHONE: (______)______-_________ BIRTH DATE: ______/_______/______ AGE: _______(IF UNDER 21)

E-MAIL ADDRESS (optional):________________________________________________________________

PLEASE NOTIFY US OF ANY ADDRESS CHANGES DURING THE YEAR

INTERESTS:

Archery ( ) Fishing ( ) Raffles ( )

Bartending ( ) House & Grounds ( ) Rifle Range ( )

Blackpowder ( ) Pheasant ( ) Skeet/Trap ( )

Cooking ( ) Pistol ( ) Sporting Clays ( )

*Note: New Membership is conditional until approved by Screening Committee, followed by 1 year’s probation

____________________________________________________________________________

OFFICE USE ONLY

Date Paid: _____/_____/_____ Application Accepted: _____/_____/_____

Screening Committee Signatures:

Check #: ________________ (1) _______________________________________________________

Amount: ________________ (2) _______________________________________________________

Rec'd by: ________________ (3) _______________________________________________________

Card issued: _____/_____/_____ (4) _______________________________________________________

Pin: _____/_____/_____ (5) _______________________________________________________

Sponsor: ________________ Application Denied ( )

Reason Denied: _______________________________________

DANSVILLE FISH & GAME

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