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Chemung County Rod & Gun Club is located on Lattabrook Road, Breesport, NY Phone: (607) 796-9090 Mailing Address: P.O. Box 338 Breesport, NY 14816 When calling the Club, you will get an answering machine, please leave a messege and someone will return your call in a timely manner. Membership Applications can be picked up at: Scott's Gun and Accessories 304 Watkins Rd Horseheads NY 14845 (607)-846-3646 Zeigler Florists - 31 Old Ithaca Rd. Horseheads, NY 14845 (607) 739-3579 Membership applications and membership information can also be obtain through Don Zeigler by calling 607-215-9913 Or feel free to print the following form, fill it out completely and mail to the address listed below .
Chemung County Rod & Gun Club
MEMBERSHIP FORM Number of years Todays Date Membership Type:(Please circle one) - Regular 60.00
- Senior (65+) 35 .00
- Junior (17-) 25.00
Is this membership a:(Please circle one) - New
- Renewal
- Extended*>>>This Form Must Be Filled Out COMPLETELY Including your FULL Legal Name And Birthdate As It Appears On Your Drivers License Or Hunting License<<<
FULL NAME ________________________________________________ First MI Last Address City State ZIP Phone ( ) FAX ( ) Birth Date :_____________________ Total Amount Enclosed: $______________
Please circle if any of the following apply: - Add one dollar donation for NYS Conservation Council
- If you are currently an NRA Member
Senior rate applies for membership in qualifying year Form revised June 2018 Mail to : Chemung County Rod and Gun Club Inc. PO Box 112 Horseheads, NY 14845 Below are names and contact information of other important members. Mike Sheahan (Club President) 607-739-5396 Wade Smith (2nd Vice President) 607-767-1127 Don Zeigler (Membership) 607-215-9913 Don McIlwain Jr. (Rifle & Pistol) dlmcilwain@juno.com Bill Wood (5 stand) ducguy@yahoo.com Ken Andrus (Shooting preserve) klandrus@stny.rr.com Any questions or problems about website, Or have your own business or club that needs a website and would like to inquire about having a website built,..please contact the Web Master at Wsmith3570@yahoo.com |
