N.C.S.A. Renewal Form, June 1, 2008 thru May 31, 2009
	Mail to:
	Niagara County Sportsmen's Association Inc.						Memb #
	P.O. Box 194						Amount.
	No. Tonawanda, New York 14120-0194						Check #
							Date	/      /
							IR Paid
	Dear Fellow  Member,
	Your dues are due June 1st.  Please complete this form, enclose a check
	or money order for the appropriate amount.
	This form may be mailed to the address above, or placed into the drop box next to
	the sign-in sheet at the club.    Deposit cash at your own risk.
	Please do not leave your dues with caretaker, it is not his responsibility to accept dues
	Please use the following schedule to derive the proper amount to enclose:
	1) Membership (standard)…………………………….……….  ..   …………						$75.00
	2) Membership (with at least ten work hours) …………....………...………						$55.00
	3) Senior membership (64 yrs old and 5 years, continuous membership..						$37.50
	4) Junior membership (Your 18th birthday must be prior to July 1, 2007....						$3.00
	5) Additional indoor range fee (optional) must be eligible to use range……						$20.00
	This option can be activated at any time during the year
							Total  $
	If you have any questions please call me at 695-0090 and leave a message,
	Or e-mail me at MBart0091@aol.com, please refer (NCSA Renewal) in the subject line.
	Thank you for your cooperation, Mike Bartlett
	Name_________________________________________
	Membership #_________ Amount enclosed $ ____________
	*************** Please update any information change below. ***************
	If New	Address
	If New	City
	If New	State			If New Zip	-
	If New	Phone #	-           -
	If you would like to be added to our e-mail list please provide address below .
		____________________@_________________._______