Fitchburg Sportsmen's Club

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Fitchburg Sportsmen’s Club, Inc.
PO Box 594
Fitchburg, MA 01420
www.fitchburgsportsmensclub.org

Membership Application

Date: 7/31/2010

Last name:

First name:

Date of birth:

Occupation:

Address:

Email:

Telephone:

Proposed By:

Club or organization affiliation (NRA, etc):

Memership type:
Junior Regular Senior
Family Senior Family

Fees for new members and renewals were voted in on February 6, 2006.

Membership
Type Fee Initiation
Fee Renewal Late
Fee

Junior
(15 - 17 years old $27.50 $10.00 $10.00

Regular
(18 - 64 years old) $55.00 $10.00 $10.00

Senior
(65 or older) $36.00 $10.00 $10.00

Family $65.00 $10.00 $10.00

Senior Family $46.00 $10.00 $10.00

Current members pay dues and assessment fees only upon renewal. A late fee of $10.00 is assessed if not renewed by May. First year members are required to participate in a minimum of one work day or event otherwise, renewal is up to the Board of Directors.

I am applying for membership in the Fitchburg Sportsmen’s Club, Inc. I understand that applicants must be citizens of the United States of America and be at least 18 years of age.

Sixty five dollars must accompany this application. If I am accepted as a member, the $65.00 will apply as my dues payment for the remainder of the current year. Dues are paid on an annual basis at the rate of $55.00 per year. Dues payments are due prior to the Annual Meeting in March of each year. Any member who is 65 years of age or older will be charged only $36.00 per year. Applicants under 18 years of age must have their guardian sign this application, giving them permission to join this club. Junior members-those under the age of 18-will pay annual dues of $27.50 per year. Family membership renewal will be $65.00.

If I am accepted as a member of the Fitchburg Sportsmen’s Club, Inc., I will obey all of the Fish and Game laws everywhere. I will obey the By-Laws, Constitution and Regulations of the Fitchburg Sportsmen’s Club, Inc.

I will endorse the oath of the National Rifle Association of America, which is printed below:

“I pledge allegiance to the flag of the United States of America and to the Republic for which it stands. I certify that I am a citizen of the Untied States of America. I am not a member of any organization or group pledged to or working for a program that is aimed at the destruction of our present system of government.”

Applicant’s endorsement _________________________________________ Date ____________

Approved by membership committee?

Initial fee received by _____________________________________________ Date _____________

Entered _______________________________________________________ Date _____________

Membership card mailed __________________________________________ Date _____________