Pinnacle Mountain Fish & Game Club, Inc. Application for Membership
First Name
Last Name
Address
Address
City
State
Zip
Phone
Email
Occupation
Individual or Family Membership:
Name of Spouse
Are you a convicted Felon?
Do you currently hold a fishing and/or hunting license?
Are you a member of another fish/game club?
If so, which Club(s)?
Do you belong to the NRA?
If you answered "No" to either of above, please explain:
Other affiliations such as "GONH"?
All applicants must be sponsored by a current Club member with at least 3 years of membership.
Note: This requirement may be waived by the Board of Directors.
First Name
Last Name
Address
Phone
Sponsor: Write a brief statement on the back of the application regarding the following questions:
How long you have known the applicant, and how did you become acquainted?
Why do you believe the applicant would be a good member?
Please sign and date your answers.
All applicants must have at least two references
First Name
Last Name
Address
Phone
First Name
Last Name
Address
Phone
Applicant: Please sign the statement below and submit this application with a $50.00 Initiation Fee, plus $30.00 Annual Dues, and include $20.00 more if this is for a Family Membership. Approval of this application will be conditional until such time as the applicant has appeared at a regular club meeting.
I hereby certify my willingness and ability to abide by the provisions of the bylaws of this club, and to observe all safety rules if accepted as a member.
Applicant's Signature: ___________________________ Date: __________
Applications must be presented in PERSON at any Board of Directors Meeting which are held on the last Monday of every month at 7PM in the club house. Please direct any questions to the Club's Secretary, Kip Degen either by telephone at: (603)-654-2795 or by email at: pmfgsec@yahoo.com. The Secretary will complete the following items.
Check#
Cash
BOD Meeting Date
Reg Meeting Voted