APPLICATION FOR MEMBERSHIP

PANORAMA SPORTSMAN'S CLUB . P.O. Box 4042 Panorama City, Ca 91412
APPLICATION FOR MEMBERSHIP
MUST BE ACCOMPANIED BY A DEPOSIT OF FIFTY DOLLARS
ANY MISREPRESENTATION OF INFORMATION ON THIS FORM MAY BE CAUSE FOR EXPULSION
DATE

MonthDayYear
Date
NAME
Full Name - First Middle Last
DOB
ADDRESS
CITY
STATE
ZIP
HOW LONG?
CITIZENSHIP
FORMER HOME STATE
OCCUPATION
EMPLOYER
HOW LONG?
PHONE (HOME)
PHONE (CELL)
EMAIL
example@example.com
Are you an NRA member?

YesNo
Are you a CRPA member?

YesNo
SPOUSE / PARTNER NAME
EMERGENCY CONTACT PHONE
PROVIDE THE NAMES AND SIGNATURES OF TWO MEMBERS IN GOOD STANDING WHO ARE SPONSORING YOU:

They will need to sign before the application is turned in.
NAME
NAME
Check any if the following in which you are interested:

Fresh Water FishingDeep Sea FishingFly TyingSurf CastingSilhouette ShootingBench RestPistol ShootingHigh Power RifleCowboy Action Shooting3 Gun CompetitionFun ShootsTrap ShootingSkeet ShootingSporting ClaysUpland HuntingBig Game HuntingWaterfowl HuntingHand LoadingArcheryOther
HOW LONG HAVE YOU BEEN INVOLVED IN SHOOTING?
WHAT IS YOUR FAVORITE TYPE OF SHOOTING?
WHAT SKILLS DO YOU BRING TO THE CLUB THAT YOU WOULD BE YOU WILLING TO SHARE?
IF ELECTED TO MEMBERSHIP, I WILL ATTEND AT LEAST 50% OF THE REGULAR MEETINGS AND PARTICIPATE IN CLUB ACTIVITIES WHICH COINCIDE WITH MY STATED INTERESTS IN OUTDOOR SPORTS.
SIGNATURE OF APPLICANT
DATE

MonthDayYear
Date
Signature

Clear
Should be Empty: