Vernon National Shooting Preserve – 2018 Membership Form
Ron Acee – Owner
Phone: 315-796-4587
PO Box 1633,
Vernon, NY 13476
phone and fax: 315-829-2529
Club email:
Reach Darcy at
Jason@vernonnational.com
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Date issued:________________________ End Date:____________________________
Name:__________________________________________________________________________________
Mailing Address:__________________________________________________________________________
City:________________________________________________State:___________Zip:__________________
Phone:______________________________________ Cell:_________________________________________
Email:____________________________________________________________________________________
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Pheasant Memberships:
New Membership $1,600.00 Membership renewal $1,450.00
- membership includes:
- 50 birds released over a 10-12 week period , Beginning October 1st
- Unlimited hunting access during season (9/1 through 3/31)
- Off season use of the property for dog training
- “Club Membership” discounts, clays rate, etc. (below)
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Club/Clays Membership:
- New Membership $175.00
- Family Membership $225.00
- Membership renewal $150(before 1/15/18, $175 after)
- Membership includes:
- Per target discount , merchandise discounts (ammo, clothing)
- Unlimited access to range and lodge
- Pistol Range and Rifle Range Access- $20 per day pp
- Membership includes:
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Pistol Membership –Club Member AND Unlimited Pistol usage – Add $200 to membership Fee($250 Family)
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Rifle Membership – Club Member AND Unlimited Rifle usage – Add $200 to membership Fee($250 Family)
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“SHOOTERS” Membership –Club Member AND Unlimited Pistol & Rifle Range use –Add $375/$450 to Fee
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Cart Pass (Members only, limited availability) – Cart Key and unlimited golf cart usage $400 half cart,
$600 Full Cart. $_________
Experience level:_________________________________ Member Reference:__________________________________
Member Signature_____________________________________________ Date:_____________________
Club Signature________________________________________________ Paid______________________