Please Print

NAME__________________________, ADDRESS____________________________________

CITY___________________________, ZIPCODE_________________

PHONE #__(____)_____________________ 2nd PHONE___(____)______________________

E-MAIL_HOME_______________________, WORK__________________________________

PLEASE CHECK:

                             Family Dues____$25.00
                        SR.____DUES: $15.00 PER YEAR,
                        JR.____DUES: $3.00 PER YEAR ( UNDER 14 YEARS OF AGE )
                        INSIGNIA PATCH._____$3.00 Ea, HAT:_____$10.00,
                        $AMOUNT__________DONATION FOR STOCKING FUND.

PLEASE READ

I, THE UNDERSIGNED, HEREBY SUBMIT MY MEMBERSHIP APPLICATION TO THE PARADISE FISHING CLUB OF BIG SWARTSWOOD LAKE, SWARTSWOOD, NJ. I AGREE TO PROMOTE GOOD FELLOWSHIP AMONG OTHER SPORTSMEN, TO MAINTAIN THE CONSERVATION REQUIREMENTS OF OUR STATE, TO ABIDE BY THE NEW JERSEY FISH & GAME LAWS AND THE PARADISE FISHING CONSTITUTION AND BY-LAWS.