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South Berwick Rod & Gun Association |
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| PO Box 184 - So. Berwick, ME 03908 | |||
| APPLICATION FOR MEMBERSHIP | |||
| Application Fee ________________ | Annual Dues _____________ | ||
| If renewal check here __ (no application fee) | |||
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Name ________________________________________________________ DOB _____________________ |
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Address _____________________________________________________________________________________ |
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| City & State __________________________________________ | Zip ____________________ | ||
| E-mail ________________________________________________ | Tel# ____________________ | ||
| Please note: For insurance purposes SBRGA must maintain a membership of at least 50% NRA members. | NRA Member? | ____ Yes ____ No | |
| Applicant’s Signature ___________________________________________ | |||
| Sponsored By _____________________________________________ | |||
| DUES SCHEDULE | |||
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Individual |
Family |
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| 1st Quarter Jan-Mar (100%) |
$64.00 |
$96.00 |
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| 2nd Quarter Apr-Jun (75%) |
$48.00 |
$72.00 |
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| 3rd Quarter Jul-Sep (50%) |
$32.00 |
$48.00 |
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| 4th Quarter Oct-Dec (25%) |
$16.00 |
$24.00 |
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| Application Fee |
+ $10.00 |
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| Family rates are 1.5 times individual dues. Pro-rated dues are for new members only - All renewals are at 100% rate. |
Total |
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| Member’s Signature _ _________________________________________________________________ | |||