| Please highlight this form and print it out. Please
fill out completely, and mail to:
Orange County Federation of Sportsmen's Clubs, Inc.
P.O. Box 784
Monroe, NY 10949
Check one:
_____ Individual $20
_____ Club $60
_____ Business $50
Name, Club or Business Name: ________________________________________________
Address: ___________________ City: ________________ ST: _____ ZIP:
_______
Phone: ______________________ E-Mai l________________________________________
Web Site Address ____________________________________________________________
For Clubs:
Meeting Night: _______________________ Total Membership: ___________________
President: ___________________________ Address: ____________________________
Town/City: _______________________ ZIP: _______ Phone #: __________________
E-Mail _______________________________
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