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In addition to filling out the standard Membership Application please attach this form
for consideration of your club membership. Illegible forms will not be considered.
Please explain why it is not possible for you to attend a regular monthly meeting
at the Club. _________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
___________________________________________________________________________
_________________________
Why do you want to become a member? _____________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
___________________
Do you have a friend or relative who is a current member that can represent you at a
regular meeting?
Y/N_______ If yes: Name:___________________________________
PH: (______) ______-___________ Email:___________________________________
Relationship:_____________________________ Please verify that this person is willing and able to be contacted and attend a meeting on your behalf before applying. Note: The Membership Secretary (currently Dave Rumney) cannot represent you or vouch for you
at a meeting.
If the above situation is not possible, when are you available to meet with the club Officers and
Directors (This will be subject to their availability)?
Days and Times in General: _____________________________________________________
Are you currently affiliated with any clubs or organizations Local, State or National who advocate for
Shooting, Hunting, Fishing or other outdoor sporting activities? _________
______________________________________________________________________
In the event that your membership request is accepted, you will be required to complete a range orientation at the club grounds, regardless of how you plan on using the facility.
Club Pin, Membership Card and Access Code will not be issued until an orientation is completed.
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