(Parent & Children<18)
PENNSYLVANIA LONGBOW ASSOCIATION
MEMBERSHIP APPLICATION
Please check appropriate box
NAME_________________________________________________ [ ] New [ ] Renewal
ADDRESS______________________________________________ [ ] Family.............…..$30.00
___________________________________________ [ ] Individual(18-65).........….$20.00
PHONE #_______________________________________________ [ ] Sr. Citizen (65+)....$ 10.00
EMAIL ADDRESS ______________________________________ [ ] Student (17 or less)$ 5.00
BIRTH DATE____________________________________________
Make checks payable to: PA LONGBOW ASSOCIATION
Mail to:
Bess Ellen Criswell– Secretary
1288 S. Mountain Rd.
Dillsburg, PA 17019