APPLICATION and MEMBERSHIP RENEWAL copy, print and send in
Name ________________________________________________________________________________________________
Address ______________________________________________________________________________________________
City ________________________________________________________State ____________________Zip ______________
Phone (______) _____________________________________ Fax (______) ______________________________________
MEMBERSHIP:  New  Renewal – Memberships good for 1or 2 years from date joining. 5% off Field & 10% of Schoolage Members
1YR. 2 YRS. 1YR. 2 YRS. 1YR. 2 YRS.
TYPE OF MEMBERSHIP: Single  $35.00  $50.00 Family  $50.00  $75.00 Corporate  $150.00  $250.00
 VISA  MASTERCARD  DISCOVER  AMERICAN EXPRESS
Credit Card Number ___________________________ Exp. Date________UV Code_______Signature_____________________
I hereby agree to abide by all DNR and State of Michigan Hunting Regulations, and Rooster Ranch Club Rules. Participation
can be hazardous, injury and death can occur with guns, dogs, brush, roads, water ponds, other hunters and uneven terrain
and fences being involved. I fully understand that there is risk of physical injury and am willing to accept that possibility.
I hereby release from liability, hold harmless forever, the Rooster Ranch LLC, Matt and Nick Anthony and family, R.K. &
Barbara Anthony, help and employees for accidents and injuries resulting from our participation.
___________________________________________________________ _______________________________
Signature Date
MAIL APPLICATION AND CHECK TO:
ROOSTER RANCH LLC • 7480 Germania Road • Ubly, Michigan 48475 • (989) 658-2332