New Jersey State Federation of Sportsmen's Clubs, Inc.
www.NJSFSC.org
Application for club to enroll each club member as individual member in NJSFSC

You must print out this form and mail it to the address below for membership application.

Club Name:____________________________ County or State Affiliate:______________________________

Club Contact: (Indidividual who Federation will contact with regards to this application.)

Name:__________________________________________________________________________________

Street:_________________________ City:_________________________ State:________ Zipcode:________

Telephone: __________________ Email Address:_______________________________________________

On a seperate sheet of paper list each member's Name, Address, County of Residence, D.O.B., Phone, Email and whether or not they have Homeowner's/Renter's Insurance and type of membership for each member.

Membership rates are as follows:
Insured Member $35.00   Receives $1,000,000 excess Liability insurance membership certificate, decal and subscription to Federation Newspaper
Insured Household $30.00   Insured Membership without Newspaper
Sportsmen Member $20.00   Receives Federation Newspaper & Membership Card
Sportsmen Household  $5.00   Federation Membership without Newspaper

IMPORTANT: Membership Forms returned after the 15th of the month may not be processed until the following month. Send a check or Money Order payable to: NJSFSC, PO Box 10173, Trenton, NJ 08650

Memberships:

_________Insured
_________Insured Household **
_________Sportsmen
_________Sportsmen Household
_________NJSFSC Patches
_________NJSFSC Window Decals		 @ $30.00 each = ___________
@ $25.00 each = ___________
@ $18.00 each = ___________
@ $ 5.00 each = ___________
@ $ 5.00 each = ___________
@ $ 2.00 each = ___________

DONATIONS FOR THE NJSFSC's LEGISLATIVE FUND $____________
TOTAL...........$____________
** Members enrolled at same address as a paid Insured member. Only one newspaper will be delivered.