Printable Membership Application


NJSFSC INDIVIDUAL APPLICATION

  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

  MEMBER – $40.00 each 

Receives $2,000,000 liability insurance membership certificate, and Federation’s Monthly 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