PA Longbow 

                                                                                                                 PENNSYLVANIA LONGBOW ASSOCIATION
                                                                                                                               MEMBERSHIP APPLICATION

                                                                                                                                 Please check appropriate box

NAME_________________________________________________          [   ]    New    [    ]   Renewal

 ADDRESS______________________________________________          [    ]    Family.............…..$25.00

                       ___________________________________________          [    ]    Individual.........….$15.00

 PHONE #_______________________________________________        [    ]    Sr. Citizen (65+)....$ 5.00

 EMAIL ADDRESS  ______________________________________         [    ]    Student (18 or less)$ 5.00

 BIRTH DATE____________________________________________

 Make checks payable to: PA LONGBOW ASSOCIATION

Mail to:

Dave Messner– Membership secretary

37 Bass Lake Road

Etters, PA  17319