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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:_________________________________________________________________________________

_______________________________________________________________