Rockford Skeet Club Membership Application printable pdf download

Rockford Skeet Club Membership Application

ROCKFORD SKEET CLUB MEMBERSHIP APPLICATION

PLEASE PRINT

NAME________________________________________________________

ADDRESS:_______________________________CITY____________STATE____

ZIP:_________ TEL:(H)____________WORK:___________CELL:____________

E-MAIL___________________________________________

OCCUPATION:________________________________________________________

(If retired, what was your former occupation?)

ILLINOIS FIREARMS OWNER’S IDENTIFICATION (FOID) CARD

NUMBER____________________________EXPERIATION DATE_____________

NATIONAL RIFLE ASSOCIATION MEMBERSHIP INFORMATION

MEMBERSHIP NUMBER_______________ EXPERIATION DATE____________

STATE___________ DRIVERS LICENSE NR_____________________________

(OUT OF STATE MEMBERS ONLY)

UPON ACCEPTANCE TO THE FULL MEMBERSHIP INTO THE ROCKFORD SKEET

AND TRAP CLUB, I WILL ABIDE BY THE BY-LAWS AND SAFETY RULES OF THE

SAME.

SIGNATURE OF APPLICANT__________________________DATE____________

RETURN THE APPLICATION AND A CHECK FOR $175.00 MADE PAYABLE TO THE

ROCKFORD SKEET AND TRAP CLUB TO:

Larry Ohda

2940 Edna Road

Rockford, IL. 61102

APPLIATION APPROVED:__________

APPLICATION REJECTED:_________

DATE:_____________________________

Form Adopted: April 2009, Revised Nov. 2010

Rockford Skeet Club Membership Application