Membership Appilcation Form |
| ( ) New Member |
( ) Renewal |
New member, please add $5.00 for registration fee Club dues are $15.00 per year from the month of joining |
New Member: |
 |
$20.00 (fees collected in Jan) |
|---|---|---|
Renewal: |
|
$15.00 (fees colected in Jan) |
| Enclosed: | $_________________ |
| Check payable to: | Paloma Ferrea Pistol Club |
| Send to: | PO Box 2393 Sun City, AZ 85372-2393 |
| Name: | _______________________________ |
| Address:____________________________ | City:______________________________ |
| State:______________________________ | Zip:__________________ |
| Phone:___________________________ |
| Email:____________________________ |
| N.R.A. Member #:__________________ | Expiration Date:_____________ |
| A.S.R.P.A. Member #:_______________ | Expiration Date:_____________ |
| Date:_________________ |
NOTE: The information provided by you will be used only within the Paloma Ferrea Pistol Club. We DO NOT sell or give away your address or phone number. |
Print this form and send or bring to the match