Wellsville Rod and Gun Club
PO Box 53
Wellsville, NY 14895
NAME:_______________________ Membership year ______(1/1-12/31)
Address:_____________________________________________________
Phone:________________________
Email:_______________________
Signature:____________________________ Date: _________________
New Member Sponsor or Reference _______________________________
Members must be US Citizens and legally able to own firearms
Fees: Individual member $25.oo ___ Family member $60.00 ____
Junior member (under 16) $10.00 ___
Lifetime member $250.00 ___
Copy and paste this form. Fill out and return to above address with check for dues. Thank you for joining us!
