Membership Renewal 2023 Membership Renewal Form Dues for 2023 cover the period of January 1st to December 31st, 2023. PSAH Individual: $150 PSPC Individual: $150 PSAH + $60 PSPC = Total $210 PSAH Family: $170 PSPC Family: $170 PSAH + $70 PSPC = Total $240 Please note that the above includes your Ontario Federation of Anglers and Hunters membership. If you pay this OFAH Membership directly please deduct $55 for Individual and $65 for Family. OFAH Membership is compulsory as it carries important insurance coverage (see OFAH for details). Payment by Interac e-Transfer Send Interac e-Transfer to email address: treasurer@psah.org Take note we no longer have access to the email account membershippsah@gmail.com Payment by Cheque Parry Sound Anglers and HuntersPO Box 511Sound, Ontario P2A 2X5 Renewal Form We’ve made some changes to our renewal form. You are now required to enter detailed information on each member under the family plan. Please update your information below (*Mandatory fields). Member #1 Name * Name First First Last Last PSAH number * PSPC# (if applicable) Email * Phone Year of birth * Address * Address Number and Street Number and Street Additional info if needed Additional info if needed Town Town Province Province Postal Code Postal Code PAL number Expiry Date Restricted Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans Drop your PAL scans here or click to upload Choose PAL scan Maximum upload size: 50MB OFAH number * Expiry Date Membership type * Individual Associate Lifetime MemberLifetime Member We are pleased to inform you that the annual membership fees remain the same as last year. Money collected from membership fees are put towards the continuous improvement and maintenance of our facilities. All Conservation work has been funded by the Sportsman's Gun Show, lottery sales and donations. Donations are always appreciated to support the ongoing Conservation efforts by our volunteers. Donation Amount (with our thanks) Add additional family members If required, you may add additional family members in the following section. Children that are part of the family plan must be included. Add Member #2 Name 2 Name 2 First First Last Last PSAH number 2 PSPC# 2 (if applicable) Email 2 Phone 2 Year of birth 2 Address 2 Address 2 Number and Street Number and Street Additional info if needed Additional info if needed Town Town Province Province Postal Code Postal Code OFAH number 2 Expiry Date 2 PAL number 2 Expiry Date 2 Restricted 2 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 2 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB Add Member #3 Name 3 Name 3 First First Last Last PSAH number 3 PSPC# 3 (if applicable) Email 3 Phone 3 Year of birth 3 Address 3 Address 3 Number and Street Number and Street Additional info if needed Additional info if needed Town Town Province Province Postal Code Postal Code OFAH number 3 Expiry Date 3 PAL number 3 Expiry Date 3 Restricted 3 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 3 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB Add Member #4 Name 4 Name 4 First First Last Last PSAH number 4 PSPC# 4 (if applicable) Email 4 Phone 4 Year of birth 4 Address 4 Address 4 Number and Street Number and Street Additional info if needed Additional info if needed Town Town Province Province Postal Code Postal Code OFAH number 4 Expiry Date 4 PAL number 4 Expiry Date 4 Restricted 4 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 4 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB Add Member #5 Name 5 Name 5 First First Last Last PSAH number 5 PSPC# 5 (if applicable) Email 5 Phone 5 Year of birth 5 Address 5 Address 5 Number and Street Number and Street Additional info if needed Additional info if needed Town Town Province Province Postal Code Postal Code OFAH number 5 Expiry Date 5 PAL number 5 Expiry Date 5 Restricted 5 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 5 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB Add Member #6 Name 6 Name 6 First First Last Last PSAH number 6 PSPC# 6 (if applicable) Email 6 Phone 6 Year of birth 6 Address 6 Address 6 Number and Street Number and Street Additional info if needed Additional info if needed Town Town Province Province Postal Code Postal Code OFAH number 6 Expiry Date 6 PAL number 6 Expiry Date 6 Restricted 6 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 6 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB Add Member #7 Name 7 Name 7 First First Last Last PSAH number 7 PSPC# 7 (if applicable) Email 7 Phone 7 Year of birth 7 Address 7 Address 7 Number and Street Number and Street Additional info if needed Additional info if needed Town Town Province Province Postal Code Postal Code OFAH number 7 Expiry Date 7 PAL number 7 Expiry Date 7 Restricted 7 Yes No Please attach a photo or scanned copy of your PAL, front and back (if applicable). Copies of your PAL will not be saved anywhere in our server. We review your license for validity upon receipt and immediately deleted it. PAL scans 7 Drop your PAL scans here or click to upload Choose File Maximum upload size: 50MB If you are human, leave this field blank. Submit