Membership Application

www.bigforkgunclub.com

Bigfork Gun Club, Inc.
P.O. Box 529
Bigfork, Montana 59911
MEMBERSHIPS:
ANNUAL: Club membership is either INDIVIDUAL (1 card issued) or SPOUSAL (Husband and Wife - 2 cards issued). Children under the age of 18 may be guests but must be accompanied and supervised by an adult. Family members over age 18 should pay dues and be club members. Otherwise they would come as your guest. 
LIFE: Issued to INDIVIDUALS only.  There is NO Family or Spousal Life membership.
I am applying for: ___ INDIVIDUAL - $60.00 dues. ___ SPOUSAL - $80.00 dues. ___LIFE - $600.00.
I am a ____ New Member, ____ Renewing Member. I have been a member since ___________
Memberships are not transferable. ALL Memberships expire May 31. Renewing members have a 30 day grace period from expiration to renew without going through new member procedure. No pro-rated fees for part year memberships.
PLEASE PRINT:
Name Spouse Name (for couple membership only)
DL/ID # DL/ID #
Mailing Address Alternate Mailing Address
City, State, Zip City, State, Zip
Phone(s) Alternate Phone(s)
Email Address Employer / Occupation (optional)
Emergency Contact name and phone number(s) Spouse Emergency Contact name and phone number(s)
I hereby apply for membership in the Bigfork Gun Club. I certify that I am at least 18 years of age, that I have never been convicted of a criminal offense, and that I can legally own a firearm. If membership is granted, I will practice safe firearm use and keep my gun action open and pointed in a safe direction while moving around the range. I will comply with ALL Bigfork Gun Club SAFETY RULES and RANGE RULES and I will observe and follow the range schedule. I will carry my current membership card and show it upon request. I WILL NOT GIVE THE COMBINATION TO A NON-MEMBER. I will be an involved member of the Bigfork Gun Club by assisting with club activities, helping with range maintenance, monitoring the grounds for safety, and cleaning up after myself. If I should see someone damaging or defacing the property, I will take the persons name and/or license plate number and report the incident to a Club Officer. As a representative of the Bigfork Gun Club I will fulfill the obligation of good sportsmanship and good citizenship.

Signature____________________________________________________________Dated______________

Spouse Signature________________________________________________ (for Spousal membership only)

Print name(s):___________________________________________________________________________

Paid _______ Cash / Check#_____________________ Card(s) issued __________  by________     9/9/2013