P W M A Membership Application

Name _______________________ Age _____ Date of Birth _________

Address _____________________ City _______________ State _____ Zip _________

Phone Number ( .......) __________________ Best Time to Call _____________________________

Occupation ______________________________________________________
(We may be able to utilize some members when special projects are available)

Check those that apply:
___ Bow hunter ___ Rifle ___ Shotgun ___ Black Powder ___ Pistol ___ Traditional

Are you currently an established Big Game Guide or Sport Shop Owner? _____

If yes, please explain: ______________________________________________

_______________________________________________________________
(Again, we may utilize some of you or simply promote member owned businesses within the club).


I have enclosed $75 (U.S. funds) for my first year membership, beginning on (this day) ____________, 2006 (and is renewable each year for only $30.00).

I solemnly affirm to be a pro-hunting supporter and do not, in any way, support or condone the actions of the anti-hunting population, and will not, in any way whatsoever, harm, discredit, or adversely affect the PWMA and its pro-hunting agenda. I am not now, nor have I ever been, affiliated with any anti-hunting, anti-constitutional, or anti-American organization, and will not provide, make available or give access to, with or without intention, any information received through my PWMA membership to any of the above mentioned person(s) or organizations, or any person(s) or organization(s) that could adversely affect this association or its agenda in any way.

(signed) _____________________________ (date) _________________

Welcome to the PWMA Sportsman's Club. Your complete membership packet will be mailed immediately upon receiving this completed, signed and dated application. You will be issued an official membership number, which will be imprinted on the first page of your sporting goods catalog.

Members CANNOT book hunts or buy sporting goods for non-members. ANYONE caught abusing this privilege will immediately be removed from the register for life - NO EXCEPTIONS! Five additional applications will be provided at the reduced rate for each new member's family and friends and will be enclosed with your membership packet. All memberships expire June 1st of each year. Applications received after February 1, 2006 will be valid until June 1, 2007!

I have read and understand the above.

(signed) __________________________ (date) ____________

Mail application to:
PWMA, P. O. Box 71, Hebron, IN 46341
Make check payable to: PWMA Sportsman's Club