Twin Lakes Gun Club

TWIN LAKES GUN CLUB P.O. BOX 199 MOUNTAIN HOME, AR. 72654

Membership Application

Date:______Please Print

Name: ______MEMBERSHIP COMMITTEE Address: ______City & State: ______Zip: ______Home Phone: ______Work Phone: ______Email address: ______Sex: _____ Date of Birth: ______Married: _____ Spouse’s Name:______1. Have you have ever been convicted of a felony? Yes______No ______If yes, please give details: ______2. If you are an NRA member, please provide NRA No. ______Expiration Date: ______3. If you are a member of other National or State shooting Organizations or Associations, please list: ______4. If you are a member of another gun club, please list: ______5. What Club activities are you interested in? A. HP Rifle (cal) ______B. Pistol (cal) ______C. Shotgun (ga.) ______D. SB Rifle (.22) ______E. Silhouette ______F. Archery-Compound ______G. Muzzle Loading ______H. Archery-Traditional ______I. Cowboy Action ______6. Which one of the above holds your greatest interest? ______7. If you have participated competitively in the above activities, please indicate which: ______8. Do you hold any instructors ratings? ______Please list:______9. How often do you plan to use Club facilities? Weekly _____ Monthly _____ Other _____ 10. Please List: Vocation: ______Hobbies: ______11. How would you be willing to assist in club activities? Hold Office ______Serve on Committees ______Help Matches ______Work Party ______12. How did you hear about the TLGC? ______13. Name of nominating member: ______Annual Dues (January 1 through December 31) …………………………. $75.00 Dues for new members joining mid-year are per chart below. There will be a $10 processing fee for NEW members and members being reinstated.

I understand that I am required to attend a mandatory orientation session within 60 (sixty) days, after which, I will receive my permanent membership card and a name tag. (Additional name tags can be purchased for $10.00 each.) I further understand that failure to attend the mandatory orientation can result in my membership being TERMINATED along with all rights & privileges. There is no refund of your application fee.

I also understand that, upon being accepted as a member, I will be expected to obey all Twin Lakes Gun Club rules, support the objectives of the Twin Lakes Gun Club and endeavor to fulfill the obligations of good sportsmanship and good citizenship.

Signed: ______Date: ______

This application will be acted upon at the next monthly meeting of the Board of Directors.

Jan – Feb – March: $75.00 + $10.00 processing fee = $85.00 Apr- May – June: $50.00 + $10.00 processing fee = $60.00 July – Aug – Sept: $35.00 + $10.00 processing fee = $45.00 Oct – Nov – Dec: $20.00 + $10.00 processing fee = $30.00

All checks for an improper amount will be returned!