989-386-2700 A Michigan United Conservation Charter Club ********************Membership Application******************** Name:_____________________________________________Spouse:__________________________ Address:___________________________________________________________________________ City:____________________________ State:______________________ Zip code:_______________ Birth Date:__________________________ Phone #________________________________________ Emergency Contact:____________________________Phone#________________________________ email address:_______________________________________________________________________ Member Michigan Conservation Clubs? yes/no Club # or name:______________________________ NRA member? Yes/NO Your Interest: Rifle:______ Sight in days________ Range Duties ________ Pistol:______ Target________ CCW Class_______ Indoor classes______ Shotgun:_______ Trap:________ Sporting Clays_______ Archery:________ Target ________ Informal:________ 3-D:_______ Black Powder:________ Target:_________ Membership Dues: Single or Family Membership: $50.00__________ Seniors over 70 years old: $40.00 __________ Membership Dues are due January 1st of each year to keep your membership active. You have use of the outside range when not in use by a club function. You will receive a discount rate on club activities. Club House rental is approved by the CRGC board. Make Checks out to: CRGC C/O Pat Seeley 4666 W. Isabella Road Shepherd MI 48883 Newsletter as of January 2017 will be emailed to members. No email address Pick up one at the club. Dec2016