All are Welcome,- JOIN or RENEW NOW !
Pennsylvania Gun Owner's Association
Address:
PGOA,
PO BOX 116,
CENTERVILLE. PA. 16404-0116
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2002 INDIVIDUAL MEMBERSHIP APPLICATION
Date____________
Name__________________________________ New Member ___ Past Member ___
Address_________________________________
_________________________________
Phone____________________________ County ____________________
Male ___ Female ___
Age ___
Will you help with raffle tickets or some other way? ___ yes, ___ no
e-mail address______________________________
Newsletter by e-mail ? ___ yes ___ no
Attach and Include any suggestions. Meeting are held the third Whenesday of the month.
MEMBERSHIP- -includes all offerings, newsletters, & benefits for $15.00
NOTE: Benefits
include 1 prepaid ticket on all gun raffles through Dec. 2002; Member Discounts at events, promotional
items; at participating gun Dealers; Annual Membership cards and all newsletters. Your comments and help
are always needed and welcome, call ; 814-827-8522; or e-mail: roypittman1@juno.com Join with us,
to make a difference!
Make checks payable to PGOA and note on check : " Membership 2002".
Welcome aboard, together we can, "Make Pennsylvania Gun Owner Friendly Again!"
-67 COUNTIES WITH ONE PENNSYLVANIAN VOICE-
"WE AIM TO BE BETTER CITIZENS"
It is our goal to "Preserve and Promote our Rights"
Applications available for Groups - 10 to 10,000!
Comments: __________________________________________________________________________________________
_______________________________________________________________________
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THESE FORMS MAY BE COPIED
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PENNSYLVANIA GUN OWNER'S ASSOCIATION
PO Box 116, Centerville PA 16404 phone 814-827-1372, e-mail: roypittman1@juno.com
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2002 APP. FOR; ASSOCIATE MEMBERSHIP for CLUBS and GROUPS
WE WORK FOR 67 COUNTIES WITH ONE PENNSYLVANIA VOICE !
The PGOA is a statewide nonprofit organization. It is comprised of men & women from all walks
of life, that put forth the efforts to preserve the Constitutional Right to Keep and Bear Arms. As insured
by our Constitution, this inalienable right may not be infringed in any way by any government, forever.
ORGANIZATION NAME: ___________________________________________ DATE: _________
MAILING ADDRESS:_______________________________________________ MIN. DUES $35.00
2nd Subscription Address __________________________________________________
Name _____________________ ph ______________ Name __________________ ph_____________
Number in your Organization: _______
Type of Organization, Fraternal, Social, Volunteer Firemen, Sportsmen's Club, Shooting Club, ETC.____________________________________________
Do you have a monthly newsletter ?___________
Do you have a project or law of specific interest?______________________________
Donations are needed but are at your discretion.
Group Associate Dues for Calendar Year 2002. AMOUNT ENCLOSED $___________check #_______
NOTE: Group Associate Membership: entitles the Group to all newsletters / mailings and all offerings for
groups. An officer or authorized delegate may have one vote, power to nominate, and make motions at our
board meetings.
It also entitles members of the Group to speak at all PGOA meetings.
Signature Group Official: _______________________________ Office:_______________
Comments:_________________________________________________________________________________
_______________________________________________________________