Washington County Sportsmen and Conservation League
C/O Bob Rittenhousse
5576 Florida Ave.
Bethel Park, PA 15102









APPLICATION FOR MEMBERSHIP or RENEWAL


PLEASE SUBMIT THIS FORM WITH 2014 DUES























ORGANIZATION NAME
















MAILING ADDRESS:

























NUMBER OF MEMBERS
















MEETING ARE HELD ON:
















PRESIDENT'S NAME:








ADDRESS:







PHONE NO:


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VICE PRESIDENT'S NAME:








ADDRESS:







PHONE NO:


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SECRETARY'S NAME:








ADDRESS:







PHONE NO:


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TREASURER'S NAME:








ADDRESS:







PHONE NO:


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DELEGATES TO COUNTY LEAGUE




PRIMARY DELEGATE:








ADDRESS:







PHONE NO:


EMAIL:











ALTERNATE DELEGATE:








ADDRESS:







PHONE NO:


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ALTERNATE DELEGATE:








ADDRESS:







PHONE NO:


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Return to: Bob Rittenhouse (at above address)







Application must be accompanied with dues.




DATE RECEIVED BY COUNTY LEAGUE: