Membership Application

The Leather Stocking Club Inc. 4628 State Route 104

P. O. Box 145

New Haven, New York 13121

Complete this form and send it with your payment.
 

** Important – Include a self address envelope for your new membership card
 

**  Please make check payable to Leatherstocking Club Inc.

Name (Last) ________________________(First) ________________ (MI)_____

Address:__________________________________________________________

City: ____________________________State ______________ Zip___________

Phone (      ) ______________________          Age _____________

New Application _____  Renewal  _____

“I hereby make this application to join the LEATHERSTOCKING CLUB, INC of Oswego County

and agree to abide by the Constitution of the Club”

Dues Per Year

Age 17 -59 $40.00

Ages 17 and under $20.00

Age 60 and over $20.00