PLEASE NOTE THAT, EXCEPT FOR PRE-APPROVED COMMUNITY SPONSORED EVENTS,
YOU MUST BE AN ACTIVE MEMBER AND HAVE A CURRENT MEMBERSHIP CARD IN ORDER
TO DISCHARGE A FIREARM ON ASSOCIATION PROPERTY.
PERRY TOWNSHIP GAME ASSOCIATION
APPLICATION FOR MEMBERSHIP (Print this page, complete and mail)
I desire to become a member of the PTGA, Route 662 between Shoemakersville and Moselem Springs.
I certify that I am at least 12 years of age (Junior member) or over 16 years of age (Regular member) and
that I am a citizen of the United States of America. Please print clearly:
Name: _____________________________________________________________
Street Address: ______________________________________________________
City: ________________________________ State: ___________ Zip: __________
Age: _______ Birth Date: ______________ Phone: __________________________
Occupation: __________________________________ Fee enclosed: $ __________
Date of application: ____________ Signature: _______________________________
Membership Fees:
Regular (over 16 years of age): $10.00 to join + $10.00 annual membership ($20.00 total)
Junior (12 to 16 years of age): no cost to join - $5.00 annual membership ($5.00 total)
Life (any age): $10.00 to join + $150.00 basic membership (age 60 and over) For all ages below age 60
the fee is $150 plus $5.00 per year for the number of years younger than age 60.
The formula is: (60 minus your age) times $5.00 plus $150 plus $10.00 to join, if not already a member.
Return the completed form along with check drawn in the correct amount to the Perry Township Game
Association, P.O. Box 324, Shoemakersville, Pa. 19555. Upon receipt, your application will be brought up
for a vote of approval at the next regular meeting of the Association on the last Tuesday of the month
before you receive a formal membership card. Be sure to use a deliverable mail address above.
Contact Bob Sproesser at 610-756-4328 if you have any questions or need additional information.