Family membership application

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* 1. Member's Full Name

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* 2. Member Contact Information

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* 3. I certify that I am at least 18 years old (give date of birth) and that I am not prohibited from legally owning a firearm or participating in club affairs by local, state or federal law. I have read and agree to abide by the NRGSC range rules and bylaws at www.nrgsc.org . I understand that any violation will result in my expulsion from the club and the termination of my membership.  (Your typed name acts as your signature.)

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* 4. Please list the names of all family members, spouse &/or children living with you ages 8 - 17 and birth dates below.  Please note that all members listed must provide proof of NRGSC safety training.  Required document upload for Q5 & Q6.

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* 5. If you are a renewing member please give your Membership Card Number here.  (This is the number of your gate card)  If you are a new member then please type New Member in this box.

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* 6. You MUST attach COPIES of proof of NRGSC Safety Training for all individuals listed on the application.  Upload the primary member's certificate here and all others in items 6-10.

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* 7. Additional training certificate for family member.

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* 8. Additional training certificate for family member.

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* 9. Additional training certificate for family member.

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* 10. Additional training certificate for family member.

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* 11. If you are making a donation to our club then please enter the amount of the donation in the box below.  Please be certain to enter a whole number ONLY, no $ and no decimals.  The amount in Q12 should reflect the total of $100 + the amount listed here.  We need the amount of any donations seperate from the membership amount for record keeping purposes.

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* 12. TOTAL PAYMENT TO NRGSC:
Annual dues are $100. Payment by credit card through secure app STRIPE. Please enter whole numbers ONLY, no $ and no decimals in the box to the right of the slider. The amount entered here should be $100 + any donation listed in Q11.
Club membership includes access and use of the range facilities by the member listed on this application as well as voting privileges in club functions.
Membership from July 1, 2021 to June 30, 2022, paid anytime, no prorating. Replacement cards are $10.00.

100 - $100 USD One Year Annual Membership = $100 1000 - $1000 USD
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You will pay at the end of this survey.

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