Membership Application

Ulster Heights Rod & Gun Club

244 Sherman Rd, Ellenville, NY 12428
PO Box 535, Ellenville, NY 12428

I being a citizen of the United States of America do hereby make application for membership in the Association UHRGC. I promise to be subject to, and abide by the laws, bylaws, rules and regulations of this Association and the laws, bylaws, rules and regulations of the NYS Dept. of Environmental Conservation. Also to uphold the Constitution of the United States of America.

Signature of Applicant * Address * Email Phone Number * Proposed By * Hunting / Fishing Interests Other Interests

Approved and Accepted: _______________________________

Date of Approval: _______________________________