Lancaster Archery Club
Membership Request

Name:
Phone:
Address: 
City: State: Zip:
E-Mail: 
Occupation/Skills:

Archery Experience: (Circle One)
New     Beginner     Intermediate     Veteran     Expert

Please Circle any Committees you may be willing to assist us with:
3D/Events Grounds Shoot Registration Kitchen Fund Raising Membership Instruction

For Family Memberships, list additional names and birth date of youths included.
_____________________ ____/____/____
_____________________ ____/____/____
_____________________ ____/____/____
_____________________ ____/____/____

LAC MEMBERSHIP YEAR: Feb.1 of This Year to Jan.31 of Next Year.
After July 31st, new members have the option to pay yearly fee for current year or pay 1.5X the yearly fee to be paid thru the following year.

LAC MEMBERSHIP DUES: (Circle Membership Type)
Individual $25   Family $35

Please Mail Membership Applications/Fees payable to:
Lancaster Archery Club
PO Box 1063
West Willow, Pa. 17583

Print out this page and mail back to LAC at the above address with your cash, check, or money order.