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The MEMBERSHIP RENEWAL FORM is available for download on this page. Dues are due on June 30th of each year and need to be accompanied by this form. This is for RENEWALS ONLY! Others wishing to join the club must be put on the waiting list by contacting a club member, and a new member application will be sent to you.

MEMBERSHIP RENEWAL FORM in DOCx download HERE

MEMBERSHIP RENEWAL FORM in PDF download HERE

 

 

 

 

BOBBYS RUN HUNTING & FISHING CLUB

P.O. BOX 212

Emporium, Pa. 15834

Website: www.bobbysrunhc.com                         e-mail: bobbysrunhc@yahoo.com

MEMBERSHIP RENEWAL – MUST BE RETURNED BY JUNE 30 th

NAME:_________________________________________ ______DATE_______________________

ADDRESS_______________________________________ ____________________AGE__________

CITY_____________________________ STATE__________ ______ZIP________________________

PHONE______________________________________E-MAIL _______________________________

PLEASE MAKE CHECK PAYABLE TO BOBBYS RUN HUNTING &FISHING CLUB

PLEASE CHECK ONE:                                                                                          CHECK NUMBER

_____SINGLE MEMBERSHIP- 18 yrs old +                                    $100.00   ______________

_____FAMILY MEMBERSHIP (complete info below)                 $150.00   ______________

_____SINGLE SENIOR MEMBERSHIP (65 yrs old+)                      $90.00     ______________

_____SENIOR FAMILY ( 65 yrs old +) (complete info below)     $125.00   ______________

_____YOUTH MEMBERSHIP (17 yrs or younger)                         $35.00     ______________

I, (single) and/or we,(family) the undersigned, do hereby agree to abide by all the rules, regulations and restrictions set forth for Bobbys Run Hunting and Fishing Club, the landowners, and the Commonwealth of Pa.

Signature: _______________________________

Family memberships please complete:

Dependant :_____________________________ Dependant _____________________________

Dependant :_____________________________ Dependant :____________________________

Dependant :__________________Sponsored youth($35.00):____________________________