St. Marys Sportsmen's Club 2008 Membership Application
Instructions: Please print-out a
copy of this application for each person applying,
complete the form legibly, and mail it with your payment(s) to:
St. Marys
Sportsmen's Club
PO Box 958
Saint Marys, PA 15857-0958
Membership type (check one):
o Senior $10.00 o Junior $2.00 (under 16)
Name: (please print) ______________________________________________________
Address: _______________________________________________________________
City: __________________________________________ State: ______ Zip: ______________
Phone: ___________________________
Email: ___________________________________________________
2008 Coyote Hunt Registration
(Optional)
If you would like to register for our Annual Coyote Hunt, please check the box(es) below and remit the registration fee of $8.00 (in addition to the membership dues, if not already a paid 2008 member).
$7.00 registration fee for prize money and $1.00 administration fee.
Mail-in registration must be received by February 8, 2008 and must include fee and a Self-Addressed Stamped Envelope.
o Yes, I would like to register for the 2008 Coyote Hunt and have read and understand the rules and regulations for the hunt.
o I have previously received my 2008 Membership. My 2008 Membership number is: _______________.
Coyote Hunt T-shirt Orders
Shirts are $10.00 each in Medium,
Large, Extra-Large, and $12.00 each in XXLarge and XXXLarge.
If the shirts are to be mailed, please add $3.00
shipping and handling charge for each shirt. Please specify Orange or Camo
Elmer.
| ___ (# Orange) ___(# Camo) | Medium T-shirts at $10.00 each | = $___________ |
| ___ (# Orange) ___(# Camo) | Large T-shirts at $10.00 each | = $___________ |
| ___ (# Orange) ___(# Camo) | Extra-Large T-shirts at $10.00 each | = $___________ |
| ___ (# Orange) ___(# Camo) | XX-Large T-shirts at $12.00 each | = $___________ |
| ___ (# Orange) ___(# Camo) | XXX-Large T-shirts at $12.00 each | = $___________ |
|
Total for T-shirts |
= $___________ |