Quarry Ridge Hunt Club
8481 N Lake Rd.
Lena, Illinois 61048
815-541-4566
2010 – 2011 Membership application
Individual Membership $450.00 If paid before May 15th $400.00 $_______________
20 bird punch card.
Extra birds $18.00 per bird
$10/each Free Scratch Birds
Family members free with member
$20.00 per gun guest fee.
Corporate/partnership Membership $2100.00 If paid before May 15th $2,000.00 $_______________
12 gauge Remington #5 shot $12.00 per box. ___ boxes x 12 = $________________
NAME_________________________________________________________________
ADDRESS______________________________________________________________
PHONE_______________________________________________________________
E-MAIL________________________________________________________________
If you would like to be on our mailing list for up coming special events and news
please include your e mail.
DATE_____________
TOTAL ENCLOSED
$_______________