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.
DUES
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!