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2017 Card Number: Full Name: Street Address: City: State: Zip: - Phone: Email: @ License Plate #: Present Occupation: Retired? YES NO All NRA Member? YES NO Lake Veteran? YES NO YES NO Range Birth Date: If so in what area: Archery Youth Other NLFGC PO BOX 41 N. LAWRENCE, OH 44666-0041 MEMBER SIGNATURE: DATE: SPOUSE SIGNATURE: DATE: New for 2018: RECEIVE A DISCOUNT ON YOUR RENEWAL FEES. FOR EVERY NEW MEMBER THAT YOU REFER TO NLFG AND BECOMES AN OFFICIAL MEMBER YOU WILL RECEIVE 25% OFF. FOR MORE INFORMATION CONTACT THE OFFICE AT: [email protected] Dues increase approved Nov. 2016 effective April 1st, 2017 By signing the above form you verify that you agree with the Range Safety Rules and your form will be kept on file at NLFG If you would like to receive your 2018 Membership Card in the mail please send a self addressed stamped envelope along with your Renewal form and dues Spouse: CREDIT CARDS ACCEPTED AT AN ADDITIONAL 3% SERVICE CHARGE Regular: $232.00 including Sales Tax Senior: $126.00 including Sales Tax If paid April 1st or later ($20 late fee): NLFG Membership Renewal Form PLEASE REMIT PAYMENT AND RENEWAL FORM TO: MAKE CHECK PAYABLE TO: NLFGC Regular: $212.00 including Sales Tax Senior: $106.00 including Sales Tax To be paid prior to April 1st: Contact Information Club Interests Shotgun Sports Are you willing to help with maintenance? Other Information You qualify for Senior Membership if 62 as of January 1,2018 Membership Rates

NLFG Membership Renewal Formnlfg.org/.../membership_forms/2018_membership_renewal2.pdfNLFG Membership Renewal Form PLEASE REMIT PAYMENT AND RENEWAL FORM TO: MAKE CHECK PAYABLE TO:

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Page 1: NLFG Membership Renewal Formnlfg.org/.../membership_forms/2018_membership_renewal2.pdfNLFG Membership Renewal Form PLEASE REMIT PAYMENT AND RENEWAL FORM TO: MAKE CHECK PAYABLE TO:

2017CardNumber:FullName:StreetAddress:City: State: Zip: -Phone: Email: @LicensePlate#:

PresentOccupation:Retired? YESNO AllNRAMember? YESNO LakeVeteran? YESNO YESNO RangeBirthDate: Ifsoinwhatarea:

ArcheryYouth

Other

NLFGCPOBOX41

N.LAWRENCE,OH44666-0041

MEMBERSIGNATURE: DATE:

SPOUSESIGNATURE: DATE:

Newfor2018:RECEIVEADISCOUNTONYOURRENEWALFEES.FOREVERYNEWMEMBERTHATYOUREFERTONLFGANDBECOMESAN

OFFICIALMEMBERYOUWILLRECEIVE25%OFF.FORMOREINFORMATIONCONTACTTHEOFFICEAT:[email protected]

DuesincreaseapprovedNov.2016effectiveApril1st,2017

BysigningtheaboveformyouverifythatyouagreewiththeRangeSafetyRulesandyourformwillbekeptonfileatNLFG

Ifyouwouldliketoreceiveyour2018MembershipCardinthemailpleasesendaselfaddressedstampedenvelopealongwithyourRenewalformanddues

Spouse:

CREDITCARDSACCEPTEDATANADDITIONAL3%SERVICECHARGE

Regular:$232.00includingSalesTaxSenior:$126.00includingSalesTax

IfpaidApril1storlater($20latefee):

NLFGMembershipRenewalForm

PLEASEREMITPAYMENTANDRENEWALFORMTO:MAKECHECKPAYABLETO:

NLFGC

Regular:$212.00includingSalesTaxSenior:$106.00includingSalesTax

TobepaidpriortoApril1st:

ContactInformation

ClubInterests

ShotgunSports

Areyouwillingtohelpwithmaintenance?

OtherInformation

YouqualifyforSeniorMembershipif62asofJanuary1,2018

MembershipRates

Page 2: NLFG Membership Renewal Formnlfg.org/.../membership_forms/2018_membership_renewal2.pdfNLFG Membership Renewal Form PLEASE REMIT PAYMENT AND RENEWAL FORM TO: MAKE CHECK PAYABLE TO:

Page 3: NLFG Membership Renewal Formnlfg.org/.../membership_forms/2018_membership_renewal2.pdfNLFG Membership Renewal Form PLEASE REMIT PAYMENT AND RENEWAL FORM TO: MAKE CHECK PAYABLE TO:

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