EXPIRATION DATE Pocono Pistol Club LLC Handgun Recreation, Training and Safety Membership Application

Benefits of Memberships: Non-Member Shooting fees

- Unlimited range time (one hour intervals, dependent Open 7 Days a Week, 360 Days per Year. on lane availability) - 25% Discount on Range Use Fees. (includes Guests Non-Member Range Use Fees: shooting on the same lane) - $18.00 First Shooter per lane (per hour) - 25% Discount on Gun Rental Fees. - $9.00 Second shooter Sharing The Same Lane - 25% Discount on PPC Classes. Gunsmith Services Available. - 10% Discount on Retail Products: Private Lessons Available. (Ammunition, Targets, Accessories) *firearms sales excluded* Utah and HR218 Classes Available. - 50% Discount on Special Events. *ALL new shooters to the facility MUST complete the one time - Priority / Exclusive Invitations to Special Events. safety orientation and introduction paperwork. - Reservation Capability (based on availability – ($9.95...LE exempt from payment). Note: One lane for One hour)

*Couples Discount: Buy one membership and get the second for half price. *Must reside at same physical address. *Discount applies to annual Memberships ONLY.*

Membership Fees: (Please select one and enclose payment with application)

Corporate Membership (a minimum of FIVE members are required under a corporate moniker) $200.00 per member/per year

Student Membership (August 1st through May 31st) $99.00 *Must be 21 years of age*

Annual Membership includes Unlimited Range time $369.00 per year

Six Month Membership includes Unlimited Range time $189.00 for six months

Senior/Disabled Vet Membership $150.00

Law Enforcement Membership $99.00 per year (Proof of service-active or retired-is required this membership includes: Corrections, EMS, EMT, Firefighters, Courts..etc.)

I wish to apply for membership to the Pocono Pistol Club/Range. I understand that I need to submit proof of age (minimum 18 years of age) and identity with this application (driver’s license, Passport, State ID Card) and that memberships are non-transferable.

Name (Print)______Date of birth ______

______Mailing Address City State Zip code

Email Address______Telephone Number ______

By signing below I certify that I understand and intend to obey all range rules including those of the Rangemaster and Staff. Furthermore, I certify that I am permitted to handle a handgun in compliance with existing laws and regulations.

______Signature Date