MEMBERSHIP APPLICATION
There are several ways to join our club.
1. Attend any meeting or event at the club and sign up here.
2. Memberships are available at Mike’s Bait & Sport Shop in Nazareth, Friendly Mart gas station in Stockertown, Chubby's in Forks Township, and John's Gun Room in Palmer Township.
3. Join by mail – Print & send the form to Stockertown Rod & Gun Club, PO BOX 485, Stockertown, PA 18083-0485.

1 year - Adult Membership - 16 years to 65 years - 2025    $50.00
3 year - Adult membership - 2025, 2026, 2027                         $125.00
1 year - Senior Citizen Membership - Age 65+ - 2025          $25.00
1 year - Junior Membership - Ages 10 through 15 - 2025    $25.00
               (Under age 10, membership is optional for fishing but required on the ranges.)

A MEMBERSHIP BUTTON MUST BE WORN AND MEMBERSHIP CARD CARRIED WHILE USING CLUB FACILITIES!
READ and OBEY ALL CLUB RULES!!
MEMBERS ONLY ON ALL RANGES – NO GUESTS or OBSERVERS ALLOWED.

FOR EACH MEMBERSHIP REQUEST - PLEASE PRINT or TYPE
Membership Type please check one [ ] 1 year [ ] 3 yr. [ ] Sr. (age 65+) [ ] Jr. (under 16)

Name __________________________________________________ Age ____________

Mailing Address _________________________________________________________

City ____________________________________ State __________ Zip _____________

Phone ___________________________________________________________________

Email Address (optional) __________________________________________________

Make check payable to Stockertown Rod & Gun Club and mail to PO Box 485, Stockertown, PA 18083