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Membership Form
Gila Ranger Cowboy Action Club
PO Box 663 Silver City, New Mexico 88062
I hereby apply for membership in the Gila Rangers, A Cowboy Action Shooting Club.
If accepted as a member, I affirm that...
I will abide by the rules, polices and by-laws established by the club,
and that I will conduct myself at all times in a manner that will not bring dishonor to the club,
and that I fully support the purposes and objectives of the club.
I also hereby agree to
the following pledge:I certify that I am a citizen of good repute of the United States of America;
that I am not a member of any organization or
group having as its purpose or one of its purposesthe overthrow by force and violence the government of the United States or any of its political subdivisions;
that I have never been convicted of a crime of violence; and that, if admitted to membership,
I will fulfill the obligations of good sportsmanship and good citizenship, and the "Cowboy Way."
Real Name:________________________________ SASS#: ____________ SASS Alias: _____________________
Family Members:
Real Name:________________________________ SASS#: ____________ SASS Alias: _____________________
Real Name:________________________________ SASS#: ____________ SASS Alias: _____________________
Real Name:________________________________ SASS#: ____________ SASS Alias: _____________________
Real Name:________________________________ SASS#: ____________ SASS Alias: _____________________
Physical Address: _________________________________________________________
City: _____________________ State: ____________________ Zip Code: ____________
Mailing Address : _________________________________________________________
(If different that physical address – please include city/state and zip code.)
Telephone Number: (______)___________________
Email Address: ________________________________________________________
Any citizen of the United States who can legally own a firearm, or use a firearm under the supervision of a qualified adult,
and
one who will subscribe to the above pledge, may become a member of this organization.If you meet the stipulations, please affix your signature to this application.
If you join as a Junior Member, one of your parents/guardian must be a member and give permission by signing.
Signature of Member(s) (Date)
___________________________________________________________Signature of Member(s) (Date) ___________________________________________________________
(Signature of parent or guardian) (Date) ____________________________________________________
Turn in at next shoot with payment, or mail this completed application with check or money order to:
Gila Rangers PO Box 663, Silver City, NM 88062MEMBERSHIP FEES: In addition to the following, there is a $5.00 initial fee on all new memberships.
Single Adult Membership:
$25.00 per year (July 1st to June 30th). Additional Adult family member = $15 eachThe $40.00 Family Membership
includes children under 12. Children between 12-17 years = $10 eachNew members joining after Oct. 1st will have their yearly dues prorated quarterly.
ie: Individual...Oct-Dec=$18.75; Jan-Mar=$12.50; Apr-Jun=$6.25 /Family...Oct-Dec=$30; Jan-Mar=$20; Apr-Jun=$10.
Members monthly match shooting fees are $5.00 per shoot, and non-members are $10.00 per shoot.