RANGELEY REGION GUIDES’ & SPORTSMEN’S ASSOCIATION

2011 MEMBERSHIP APPLICATION

YES !! COUNT ON ME FOR CONTINUED SUPPORT OF THE RRG&SA EFFORTS!

· PLEASE CONTACT ME REGARDING HOW MY PLANNED GIVING AND ESTATE

PLANNING CAN ACHIEVE MY OBJECTIVES & HELP FORWARD RRG&SAGOALS _____

· I WOULD LIKE TO RECEIVE PERIODIC EMAILS ON ITEMS OF INTEREST, CLUB EVENTS AND PROVIDE INPUT

ON KEY OUTDOOR ISSUES. EMAIL ADDRESS ________________

· I WILL VOLUNTEER TO HELP WITH THE FOLLOWING:

__JUNIOR GUIDES, __STREAM RESTORATION, __FUND RAISING, __LANDSCAPE MAINTENANCE

_____CLUB HOUSE MAINTENANCE, _____SOLICITING FOR SILENT AUCTION,

___ARCHERY, ___GRANT APPLICATIONS, ____OUTDOOR SPORTING HERITAGE DAY

· SORRY, I CAN’T HELP OUT, BUT I WILL INCREASE THE LEVEL OF MY MEMBERSHIP

TO $________, MAKE A DONATION OF $__________.

· INDIVIDUAL $20 ___, FAMILY $30 ____, SENIOR (70) $10 ___, CONTRIBUTING $50 ___,

SUSTAINING $100 __, SPONSORING $500 ___, INDIVIDUAL LIFE $500___,

FAMILY LIFE $750___, DONATION $_____

TOTAL ENCLOSED (THANK YOU) $____________

NAME(S)______________________________________, ADDRESS_____________________________

TOWN__________________________, STATE__, ZIP______, PHONE_______, EMAIL_____________

SEASONAL ADDRESS________________________,STATE____,ZIP_____, PHONE_______________

RANGELEY REGION GUIDES’ & SPORTSMEN’S ASSOCIATION

P.O.BOX 244

207 864 5360 OR 864-5647