Print out the page, fill out the application, & mail with a check or money order made payable to:
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Raystown Striper Club, Inc., P. O. Box 416, James Creek, PA 16657
Name _________________________________________________ Today's Date _________________
Address _______________________________________ City _____________________________
State ______ Zip _________ Phone ( )_________________ e-mail _____________________
______Initial Family Membership $25.00 * ______ Renewal Family Membership $15.00
Are you interested in contributing to the striper fishery on Raystown Lake?
Each $5 donation will buy approximately 25 2-inch stripers to stock!
| ____$5 | ____$10 | ____$15 | ____$20 | ____$25 | $_______other |
| (25 fish) | (50 fish) | (75 fish) | (100 fish) | (125 fish) |
Thanks for your support of the RSC!