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):____________________________