*Please print and bring to meeting with a check for initial fees.*

Membership Application For
The Hamburg Rifle Pistol Club

Date:

NRA Number:

Name:

Address:


Home Phone:
Email:

Occupation:
Business address:



Business Phone:
Date of Birth:

Fees
Initial Enrollment $50
If not an NRA Member add ($35)

Total ----------------


I HEREBY MAKE APPLICATION TO BECOME A MEMBER OF THE HAMBURG RIFLE PISTOL CLUB, INC. OF HAMBURG PA., AND PLEDGE TO ABIDE WITH THE CLUB’S RULES AND REGULATIONS GOVERNING SAID MEMBERSHIP.

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Proposed By

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