Itasca Gun Club Membership Application Request Form

Membership to the Itasca Gun Club is $30.00 annually for family membership, $18.00 seniors, $300.00 Life Membership. Members are required to either a) Perform 5 hours of volunteer service annually or b) Pay an "in lieu of service fee" of $25.00 Tell me more about the volunteer service policy

Memberships are subject to a review process and require a signed affidavit. Membership application will be mailed promptly once your request is received.

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Date of request:

-- mm/dd/yy

Please provide the following contact information:

First Name
Last Name
Middle Initial
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
FAX
E-mail

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Jeff Sundin
Copyright ©2003-2004 [Itasca Gun Club/Jeff Sundin]. All rights reserved.
Revised: March 11, 2006