2008
NEW MEMBER RENEWAL CHANGE
Last Name First__
Number & Street
City State Zip
E-Mail
How Many Stickers? 1 2 License PlatePhone #
Type of Membership:
Family (Parents & all children under 16) $20.00
Adult Male (16 & over) $20.00 Adult Female $20.00
Senior (Age 65 & Over) $10.00
Lifetime (Individuals Only) $300.00
PO Box 83
Auburn, NY 13021
Phone: 315-252-0014 Website: www.falconsportsmenclub.org