Membership Status

First Name

Last Name

Address

(Please include 911 address if you have a PO Box) Address

City

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Zip Code

Home Phone

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Birthdate

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Do you currently crossbow hunt?

Do you currently bow hunt? (Compound, recurve or Longbow)

Yes No

If you do not currently bow hunt, are you a former bow hunter?
(If current leave blank)

Yes No

Do you believe crossbows are another form of bow and should be allowed in all seasons and areas archery equipment is permitted

Yes No

Do you believe crossbows should ONLY be permitted for seniors and handicapped persons

Yes No

Are you a NYS Bow Hunter Education Instructor?

Years as Instructor

Yes No
Current Former

County (Where you live)

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