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Membership: Rick
Kuzman Chairman All applicants will be interviewed for club membership. All sponsors must also attend the interview. To arrange an appointment for an interview please contact Rick Kuzman at (508) 896 – 9563. Cape Cod Fish & Game Association
P.O . Box 119 Club House Harwichport, MA 02646 Depot Street North Harwich Name:_______________________________________________________________________
Spouses Name:_______________________________________________________________
Address:_____________________________________________________________________
Telephone:___________________________ Occupation:_____________________________
Sponsor:_____________________________________________________________________
Other Clubs you belong to:______________________________________________________
Age Group: (check one) Jr.’s 15-18 □ 19-29 □ 30-45 □ 46-60 □ over 60 □
NRA Member: Yes □ No □ Goal Member: Yes □ No □
Please state your interest in applying for Membership: Trap Shooting □ Archery □ Rifle Shooting□ Fishing □ Pistol Shooting □ Social □ To Obtain a Pistol Permit □
Do you have any skills or hobbies which may be useful to help maintain the club? (Carpentry, Lawyer, C.P.A, Computer Knowledge, Work Parties, Culinary Arts, etc.)
□ By signing below I acknowledge I have read and understand the New Rules of Cape Cod Fish & Game Association*
Signature:________________________________________ Date:____________________
*As Approved and submitted by the Board of Directors January 24th, 2006
Dues are $100.00 (May 1 – April 30). Initiation Fee $80.00 Due with Application Forward this application with $180.00 fee to Membership Committee
----------------------------------------------------------------------For Office Use----------------------------------------------------------------------- Date Received: __________________
Payment: Check/Cash amount______________________________ Check #________________________
Date Voted on by Directors:_____________________ Date Voted on by Membership__________________
Date key received:_____________________________ Membership#______________________________
Downloadable Application in .doc format click here |
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