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	Unified Sportsmen Of Pennsylvania Serving the grassroots sportsmen of the Keystone State APPLICATION FOR MEMBERSHIP and DONATION FOR CWD PARTNERSHIP Personal Information First Name Last Name Company* Address 1 Address 2 City County State Zip Telephone Email* Notes * For Corporate Memberships only ** Your email will be kept private and used for USP alerts only. Other Information Are you a new member, renewing member, or donating to CWD Fund? Make a Selection New Member - 1 year - $20.00 New Member - 2 year - $35.00 New Member - 3 year - $50.00 Lifetime Member - $250.00 Renewing Member - 1 year - $20.00 Renewing Member - 2 year - $35.00 Renewing Member - 3 year - $50.00 Camp Member - 1 year - $30.00 Club Member - 1 year - $100.00 Club Member - 2 year - $175.00 Club Member - 3 year - $250.00 Business Member - 1 year - $50.00 Corporate - Silver - $1,000.00 Corporate - Gold - $2,500.00 Corporate - Diamond - $5,000.00 Corporate - Platinum - $10,000.00 Donation to CWD Fund - $Enter Amount Donation to CWD Fund $1,000.00 Donation to CWD Fund $500.00 Donation to CWD Fund $100
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