Membership Renewal Application – Nenameseck Sportsmens Club

First Name

Last Name

Year of Birth

Mailing Address Line 1

Mailing Address Line 2

City

State

Zip Code

Email Address

Home Phone #

Cell Phone #

Limited (Black Powder&Archery Only)

Yes

No

Valid LTC or FID?

Yes

No

LTC/FID# (Req. Firearm Range Access)

LTC or FID Expiration Date

Are you a Member of G.O.A.L?

Yes

No

Are you a Member of the NRA?

Yes

No

INTERESTS: Handguns?

Yes

No

INTERESTS: Long Guns?

Yes

No

INTERESTS: Archery?

Yes

No

I Reviewed the Club Rules? (https://nenameseck.com/wp-content/uploads/2019/01/NSC-Club-Rules-12-4-2018.pdf)

Yes

I Reviewed the Club Bylaws? (https://nenameseck.com/wp-content/uploads/2019/01/Nenameseck-Club-Bylaws-1-17-2019.pdf)

Yes

I Reviewed the Liability Waiver? (https://nenameseck.com/wp-content/uploads/2019/01/NSC-Club-Liability-Waiver-2019.pdf)

Yes

Select the Membership that you want to Renew

Do you want to Renew Additional Memberships?

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