Greenville Camp Mercer County Sportsmen Association, Inc.

Greenville Sportsmen Club

2026 MEMBERSHIP APPLICATION

Check one: (  ) NEW ( ) RENEWAL

                             Name_____________________________________________Phone___________________

                        Address______________________________________________City___________________

                        State___________________________Zip________Email____________________________

Questions (All Must be Answered to be considered for membership)

1.    Are you an American citizen?                                                              Yes_____No_____

2.    Have you ever been convicted of a felony or misdemeanor of  the     

first degree or are you currently under indictment for a felony or       Yes_____No_____

misdemeanor of the first degree.

3.    Are you a fugitive from justice?                                                            Yes_____No_____

4.    Are you an unlawful user of any controlled substance?                      Yes_____No_____

5.    Are you prohibited from firearm ownership or use by any federal       Yes_____No_____

state, or local order?

I, the undersigned, affirm that all information on this application is true and correct.

I also acknowledge and affirm that any information on this application found to be false or misleading will be cause for the immediate revocation of membership from the Greenville Sportsmen Club. Any such revocation shall or may result in the forfeiture of any dues, fees, or any other claims, monetary or otherwise, against the Greenville Sportsmen Club.

And also acknowledge receipt of the GSC range rules and house rules.

 

 

MEMBERSHIP DUES:  $75 MAKE CHECKS PAYABLE TO: GREENVILLE CAMP REGISTERED MEMBER

 

Printed  Name____________________________________

Signature                                                                           Date_________________      

Memberships run on a calendar year basis. Renewals are requested by the end of the current year for the next year.  Memberships for the next calendar year become available in October.

INCLUDE A SELF  ADDRESSED STAMPED ENVELOPE TO RECEIVE YOUR MEMBERSHIP BY MAIL

Mail to:  Nick Tsalapatas, 6935 Kane Road, Transfer, PA 16154