Print this page, complete, and mail with the proper fee.
Each person or family must complete an application.
Multiple applications can be mailed together.

           2009 MEMBERSHIP APPLICATION                                                

_________________________________   _______________
Last name                                              First name

 _______________________________________________
Street Address

 ____________________________     ______    _________
City                                                   State         Zip

 (_____)_________________________________________
Phone 

__________________@____________________________
e-mail

______________________________________
Drivers license number and state of issue

I agree to observe the rules and bylaws of
Consolidated Sportsmen of Lycoming County.

 ________________________________________________
Signature

Select ONE annual membership desired:
            |__|  Adult        $40.00  
            |__|  Family      $45.00      
            |__|  Senior      $20.00    

 Please check all the appropriate boxes:
            |__|  New
            |__|  Renewal from 2008
            |__|  Member prior to 2008 but not in 2008
            |__|  NRA Member

We accept cash, check, and money order. 
Sorry, we cannot accept debit/credit cards at this time.

Print this page and complete.  Mail with the proper fee to:
            CONSOLIDATED SPORTSMEN OF LYCOMING COUNTY
            PO BOX 192
            WILLIAMSPORT, PA 17703-0192

We are sorry, but we are unable to accept membership applications over the Internet at this time.  This is due to the limitation of accepting payment.  Payment must be made at the time of application. 

Membership is also available at the farmhouse, from many members, George Welding Supply, Montoursville, and Troxell's Sporting Goods on Lycoming Creek Rd, Williamsport.