PALOMINO VALLEY GUN CLUB
Membership Application and Renewal
Print out, fill in and mail with your check as indicated below.
NAME__________________________________
NRA #_____________________________
ADDRESS_______________________________
CITY______________________________
STATE____________ZIP___________________
EMAIL_____________________________
HOME PHONE (_____)____________________
WORK (_____)_______________ CELL (_____)_______________
PLEASE CHECK APPROPRIATE CATEGORY:
PLEASE RETURN FORM AND FEES TO: P.V.G.C.I.
PERSONAL MEMBERSHIP
ANNUAL $20.00 (__)
PO BOX 4251
FAMILY MEMBERSHIP
ANNUAL $25.00 (__) SPARKS, NV. 89432-4251
JUNIOR ONLY ANNUAL $10.00 (__)
FOR INFORMATION CALL Mike Schreier 856-1144
Make your check payable to the Palomino Valley Gun Club.