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Pennsylvania Longbow Association

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Membership Application
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Name: _________________________________________

Address: __________________________________________

City: ___________________ State: ______ ZIP: _________

Tel. No.:____________________ Email: _________________

MEMBERSHIP APPLICATION (Check That Apply)

(__) New
(__) Renewal

(__) Family (Parents and children under 18) - $25.00
(__) Individual (Adult, age 18 and over) - $15.00
(__) Senior Citizen (65 and over) - $5.00
(__) Student (Under 18) - $5.00

All Youth age 16 and under MUST be accompanied by an Adult when shooting.

Membership year from date of receipt of application and appropriate fees.

Make checks payable to:
PENNSYLVANIA LONGBOW ASSOCIATION, INC.

Send to:
Bess Ellen Criswell, Membership Sec.
Pennsylvania Longbow Association, Inc.
1288 S. Mountain Rd
Dillsburg, PA 17019