MEMBERSHIP APPLICATION NEW MEMBERS & RENEWALSWant a printed form instead? A fillable PDF is available to fill or print here. Step 1 of 6 16% Member InfoPlease out all the required fields. One form per member application. Name(Required) First Last Email(Required) Phone(Required)Billing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address Same as Billing Address Mailing Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Date of Birth(Required) Month Day Year Age(Required)Name of Parent/Legal Guardian (if under 18)Parent/Legal Guardian ConsentBy checking this box, you are signing consent for your minor child to join Topton Fish and Game. I am a parent/legal guardian and I grant permission for Junior membership. InterestsLet us know what you're interested in. Your feedback helps us improve our programs and provide you with relevant information.Choose Your Interests: Archery Cowboy Club Upkeep/Maintenance Education/Classes Fishing Multi-Gun (Rifle, Pistol, Shotgun) Muzzleloader Steel Challenge Trap Shooting Select All Membership FeesMembership Type(Required) New Membership Membership Renewal Life Membership ($600 After 1 Year) Payment Option(Required) I will pay online ($5 online processing fee) I will pay by check Senior Membership (Age 18+) Price: Junior Membership (Age 5-17) Price: Senior Citizen (Age 60+) Price: Senior Membership Renewal (Age 18+)Late Renewals $90 When renewing January 1 through January 31 $120 When renewing after January 31st Price: Junior Membership Renewal (Age 5-17) Price: Senior Citizen Renewal (Age 60+)Late Renewals: $60 When renewing January 1 through January 31 $120 When renewing after January 31st Price: Life MemberAvoid renewing every year by becoming a Life Member of Topton Fish & Game. Eligible to those who have been a member for at least 1 year. Price: Processing FeeThere is a $5 fee for processing your payment online. Price: Donation (Optional)Our club relies on membership dues and donations to help keep the club running. Donations help with range improvements and maintenance. If you'd like to make an additional donation please enter the amount below and add the amount to your membership payment total. We appreciate your donation. Topton Fish and Game Association is a Section 501(c)(7) social club. Donations are not Tax exempt.Donation Amount Membership Terms**All new members are required to attend 1 meeting prior to receiving their member packet and cards. ** You are required to read, understand and agree to the Club Policy and Rules. (See below) Club Policy and Rules(Revised 1-19-21)Only the Member and immediate family members may use Club Ranges. The Member, spouse, minor children (17& under), and grandchildren (17& under) are eligible to use the ranges only with the Member present. It is not necessary to be a member to eat at the clubhouse. A GUEST PASS can be purchased at the club for a fee of $10 per person. If the Guest chooses to join the club… The $10 fee can be used toward membership if used within 30 days of the visit. A member can have a maximum of 3 guest passes at any one time. NO ALCOHOLIC BEVERAGES ALLOWED ON ALL RANGES AT ANY TIME !!! All members MUST DISPLAY Range Cards while using club facilities. Practice SAFETY, COMMON SENSE, and COURTESY at all times on club property. Observe any club rules that may be posted on club grounds. Show courtesy to other shooters waiting to use the ranges. It is advised to not occupy any range for more than 1 hour if there are members waiting to shoot. PLEASE KEEP THE CLUB RANGES CLEAN ! Take all trash, targets, broken arrows, and unused ammo with you. DO NOT THROW UNUSED AMMO in trash cans ! Range shooting hours are from 8:00am till sunset, not dusk. Club Matches take priority on all ranges. All Ranges will be closed during Archery Shoots. Please obey 5mph Speed Limits entering and exiting club. ** Failure to abide by these rules may result loss of membership. **Check the box below to agree to the terms of this membership(Required) Yes, I have read and agree to abide by the rules and policies of Topton Fish and Game Association PaymentMake checks payable to: TOPTON FISH & GAME ASSOCIATION Include your PHONE NUMBER in the MEMO SEND CHECK BY MAIL: Include self-addressed stamped envelope with postage Print a copy of your application and mail check to: Topton Fish & Game Cindy Derr, Fin. Sec'y 606 Independence Ct. Blandon, PA 19510 OR DROP IT OFF AT THE CLUB: During club hours (check calendar for club closures) Topton Fish & Game 26 Tina Lane Mertztown, PA 19539 Clubhouse Hours: Sunday 7:00 AM to NoonTotal Credit CardCard Details Cardholder Name CAPTCHABy hitting submit you agree that all information provided is correct and you agree to pay the amount total shown above.Only Hit Submit One Time! Questions? Email webmaster@toptonfga.com Only Hit Submit One Time!
