North Valley Sportsman Club Membership Form

MEMBERSHIP APPLICATION

Joining between June 1st & November 30th
$48 - Primary Member, $24 - Spouse, $12 - All Dependents under 21 living with you
(All dues paid covers you through May 31st of the following year)
Joining after November 30th
$30 - Primary Member, $15 - Spouse, $8 - All Dependents under 21 living with you
(Covers through May 31st)

NAME: _________________________________________________________ $48.00

ADDRESS:_______________________________________________________

CITY, STATE:____________________________________ZIP CODE:____________

PHONE: (Home)_______________________ (Cell)____________________________

NRA MEMBER: _____YES _____NO Membership # ___________________________

EMAIL ADDRESS _______________________________________________________

ADDITIONAL MEMBER:

Spouse (Voting Member) _____________________________________________$24.00

JUNIOR MEMBER(S):
    Dependent(s) Under 21:  1.___________________________________________$12.00

                            2. __________________________________________$12.00
                                3. __________________________________________$12.00

MEMBERSHIP DUES:___________

PRIMARY MEMBERS WILL BE REQUIRED TO ATTEND AT LEAST
ONE MEETING OR WORK PARTY PER YEAR - OR PAY $25.
PLEASE INCLUDE $25 IF YOU DO NOT PLAN TO ATTEND $25.00

TOTAL ENCLOSED:_________

REQUIRED FOR MEMBERSHIP - LICENSE PLATE NUMBERS - LIST ALL THAT MAY BE 0N THE RANGE

Plate Numbers:______________________________________________________________________

THE NRA PLEDGE
(Required in By-Laws for NRA Affiliation)

I CERTIFY that I am a citizen of good repute of the United States of America; that I am not a member of any organization or group having as its purpose or one of its purposes the overthrow by force and violence of the Government of the USA or any of its political subdivisions; that I have never been convicted of a crime of violence; and that, if admitted to membership, I will fulfill the obligations of good sportsmanship and good citizenship.

SIGNATURE________________________________________________

THANK YOU FOR YOUR SUPPORT!

MEETINGS: Third Tuesday every month (Sep through May), 7:00 PM Meeting @ North Valley Hospital Community Center, 235 Nucleus Avenue, Columbia Falls

Instructions:

1. Print this form (use the print command in your browser) and fill it out.
2. Read our club rules, (3 parts) then print & sign the 'RULES SIGN OFF FORM,' found at the end of the Administrative Rules, Part 3. This form is required to complete your membership!
3. Mail the (1) Membership Form, (2) Rules Sign Off Form, and (3) payment to:

NVSC
PO Box 1894
Columbia Falls, MT 59912

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