PENNSYLVANIA DEER FARMERS ASSOCIATION MEMBERSHIP APPLICATION

(Please check one) ❑ New ❑ Renewal - Member #____________ (if known) Membership Name:___________________________________________Date________________ Farm Name:_____________________________________________________________________

#1 (will appear in directory)________________________

I am joining as (please check one)

❑ Active PA Propagator* (voting privileges) - $100.00

❑ Associate Member (non-voting) - $75.00

❑ Life Member* (voting privileges) - $1,000.00

*Must be a Pennsylvania resident

Please check all that apply:

❑ Farm ❑ Hunting Ranch

I hereby make application to the Pennsylvania Deer Farmers Association, Inc. and certify that the information I have provided is true and correct to the best of my knowledge.

Signature:___________________________________________ Date:______________________

Please mail application with payment to: PA Deer Farmers Association P. O. Box 3 635 • Williamsport, PA 17701

Ranch Name & Contact info if different from Farm: ❑ Other Please mail application with payment to: PA Deer Farmers Association PO Box 394, Harrisburg, PA 17108

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