South Central Ontario Big Game Association Inc. (SCOBGA)
name ___________________________________________________________________________________________________________
street address, box #, RR #, apt #
___________________________________________________________________________________
town, province __________________________________________________________________
postal code ____________________
home phone #
(________)_______________________________ email
address
_________________________________________________
|
Date _____________ |
New Membership ___ Renewal ___
Is this a change of address? yes ___ no ___ |
|
Enclosed: |
Annual Membership Fee |
$10.00 |
$______ |
|
|
Life-time Membership |
$100.00 |
$______ |
|
|
Number of crests ___ @ |
$3.00 |
$______ |
|
|
Donation to Deer Rescue |
|
$______ |
|
|
_____________ Total enclosed this section ________ |
$______ |
|
|
Would you like to volunteer for future conservation projects? |
yes _____ no _____ |
Ontario Federation of Anglers & Hunters (OFAH)
Are you a member of the Ontario Federation of Anglers & Hunters? yes ____ no ____
If yes, please give your membership number ______________________ expiry date ___________
If no, and you would like to become a member of the OFAH, please complete the following:
|
Youth Membership without magazine |
$12.75 ______ |
|
Youth Membership with magazine |
$20.75 ______ |
|
Adult Membership |
$30.75 ______ |
|
Family Membership (list names and ages of spouse and children on reverse) |
$41.75 ______ |
|
Upgrade from Adult Membership to Family Membership |
$11.00 ______ |
Date ____________________ Signature _____________________________________
|
Mail to: |
South Central Ontario Big Game
Association Inc. 1000 Simcoe Street North, Box 96508 Oshawa, Ontario L1G 8E6 |
Make all cheques payable to SCOBGA Inc. [2007 Feb]