Printable Membership Application


NJSFSC INDIVIDUAL APPLICATION
(you can also download a brochure from this link)

  Select type of membership desired.              Send Check or Money Order              FOR TOTAL AMOUNT PAYABLE TO:NEW JERSEY STATE FEDERATION OF SPORTSMEN’S CLUBS, INC.   P.O. BOX 10173, Trenton, NJ 08650             

 

  INSURED MEMBER – $40.00 each                       Receives $1,000,000 liability insurance                       membership certificate, and Federation’s Monthly eNewsletter                                    ——————————————————————– $_______
  INSURED HOUSEHOLD MEMBER – $35.00             each           Receives INSURED MEMBERSHIP without             eNewsletter                       ——————————————————————– $_______
  SPORTSMEN MEMBER – $25.00 each                       Receives Federation’s Monthly eNewsletter, Membership             Card                       ——————————————————————– $_______
  SPORTSMEN HOUSEHOLD MEMBER – $5.00             each                     Receives SPORTSMEN MEMBERSHIP             without eNewsletter                       ——————————————————————– $_______
  Additional          members in the same             household can be listed on separate             sheet of paper.  
  Check if Emblem Decal is Required –             $2.00              each $_______
  Check if Emblem Patch is Required –             $5.00              each $_______

 

  DONATIONS FOR THE NEW JERSEY STATE             FEDERATION          OF SPORTSMEN’S CLUBS LEGISLATIVE             FUND $_______

 

  TOTAL $_______
 
*Name_________________________________________________________                                

   Address_______________________________________________________                                

   City____________________________________State_________ZIP_______                               

  County of Residence______________________     Date of Birth (MM/DD/YY) ________________   

  Telephone_________________     Email address_____________________________________     

  Club Name(optional)_____________________________________________                                     

  Profession(optional)_____________________________________________

* All information required unless otherwise noted