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Please fill out the above form print,and return it to Perry Twp. Game Association. Retain the below for your records.

When you sign up for a membership at Perry Township Game Association you agree that you will not use any intoxication beverages or drugs that will imped your ability to safely operate a firearm. Members who appear to be intoxicated while shooting at our facility are subject to your membership being revoked.

YOU CAN JOIN, AND SHOOT AT OUR RANGE THE SAME DAY. FILL OUT APPLICATION AT RANGE AND PLACE IT IN MAIL BOX AT CLUB HOUSE ALONG WITH PAYMENT.

 Effective 01/01/2012 Membership fees will be:

 $20.00 per year + $10.00 to join $30.00

I desire to become a member of the PTGA. Route 662 between Shoemakersville and Moselem Springs.151 Moselem Springs Rd 19526. I certify that i am at least 12 years of age (Junior member) or over16 years of age (regular member). I also certify that I am a citizen of the United States of America, and I can legally own a Firearm.

Please note that, Except for pre-approved community sponsored events, you must be an active member, and have a current membership card or be a guest of a paid member and filled out and paid the appropate fee's in order to discharge a firearm on association property. New members who have not received their card can use the stump of their application form as temp. membership card.

Membership Fees:

Return completed form along with payment (based on your membership selection) to:

 Perry Township Game Association P.O. Box 324 Shoemakersville, PA. 19555

Make checks payable to:

Perry Township Game Association

Please note that our membership runs on a fiscal year basis. July 1st to June 30th. Renewal cards are mailed during May and payment is due by June 30th. However, late renewals are accepted during a two month grace period until August 31st. A late fee of $5.00 is charged between September 1st and December 31st. Unpaid members will be dropped from the roles at that time, and will be required to rejoin the association after January 1st.

Upon receipt, your application will be brought up for a vote of approval at the next regular meeting of the association on the last Tuesday of the month before you receive a regular membership card. Be sure to use the above address to return this form. If you have any question or need additional help please contact Bob Sproesser at 610-756-4328

Regular (Over 16 years of age): $10.00 to join + $20.00 annual membership ($30.00 total) Junior (12 to 16 years of age): no cost to join - $5.00 annual membership ($5.00 total) Life (any age) $10.00 to join + $150.00 basic membership (for ages 60 and over) for all ages below 60 the fee is$150.00 plus $5.00 per year for the number of years younger then age 60.The formula is (60 minus your age) times $5.00 plus $150.00 (life membership) plus $10.00 to join, if not already a member. Perry Township Game Association P.O. Box 324 Shoemakersville, PA. 19555