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Please mail Form and Check or Money Order to
Tri States Rod and Gun Club
P.O. Box 801 Port Jervis N.Y. 12771
Attention Membership Secretary
Phone Number
E-Mail
TRI - STATES ROD & GUN CLUB Inc
266 NORTH ORANGE ST. P.O. Box 801. Port Jervis, NY. 12771-0801
Affilated with:
Orange Co. & Sullivan Co. Federation of Sportsman's Club
New York State Conservation Council
National Rifle Association
New York State Rifle & Pistol Association
Port Jervis, N.Y........................................................................... 2016..
I am Renewing My Membership to this Association. I am Aware of all the Rules and Regulations. I Have Enclosed:
Annual dues    $30.00
$5.00 Junior              for 2016..
Annual Dues are due January 1 ST
Please allow 2 weeks from receiveing your Renewel Payment for your Membership Card