MEMBERSHIP APPLICATION

Joining between June 1 & November 30 (good to May 31 of following year)
$48 Member - $24 Additional - $12 Dependent (Under 21 - Same Address)
$84 Maximum per Family (Renewal due by June 1 each year)
  Joining after November 30 member dues are $30
(Pays to May 31)

NAME: _________________________________________________________        $48.00

ADDRESS:__________________________________________P. O. Box:_________

CITY, STATE:_________________________________________ZIP:____________

PHONE: Home:_______________________ Work:____________________________

NRA MEMBER: _____YES _____NO Membership # ___________________________

EMAIL ADDRESS _______________________________________________________

ADDITIONAL MEMBER:

  JUNIOR MEMBER(S):
    Dependent (Under 21     1.___________________________________________$12.00
    Same address)
    Use back of sheet for   2. __________________________________________$12.00
    additional Dependents) #'S_________________________________________________________________________________________

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 United States 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!  When I don't get this form, I am pretty sure you did not make it through all THREE parts of the rules.
3. Mail the (1) Membership Form, (2) Rules Sign Off Form and (3) Total Dues ($) to:

NVSC
PO Box 1894
Columbia Falls, MT 59912

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