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  PINE RIVER SPORTSMAN'S  CLUB

 

  P O BOX 73, ST. CLAIR, MICHIGAN  48079

 

Application for Membership

 Date___________________

                                          

                                         

Name_____________________________ Address___________________________________


City_______________________________State____________________ Zip_______________


Age_______Occupation______________________Phone Number_______________________


Email Address_________________________________________________________________


Have you ever been convicted of a felony, crime, or misdemeanor?________________________________________________


If so, state place, date and nature of crime____________________________________________________________________


Have you ever had a concealed weapon permit cancelled?________If so why?_______________________________________


                                                                                                    _______________________________________________

                                                                                                                                                             Applicant's Signature


Approved by_______________________   One Member's Signature________________________________________________

                  Chm of Membership Committee

=============================================================================================

COST OF MEMBERSHIP - JUNIORS (UNDER 18) $15 & $1 INITIATION FEE - REGULAR (18-64) $60 & $20 INITIATION FEE - SENIORS (65 AND OVER) $25 & $20 INITIATION FEE - KEYS ARE AVAILABLE TO REGULAR & SENIOR MEMBERS $2 ALL MUST ATTEND A MEETING TO GO OVER THE RULES BEFORE APPLICATION CAN BE APPROVED. MEETINGS ARE HELD THE 1ST AND 3RD WEDNESDAY OF THE MONTH.


Received of___________________________________________________Date_______________________________________


Subject to the approval of the Association.  If not approved this money will be returned.


$_________________   Check #__________  Cash________


(Mark One)  ____Regular Member  ____Senior Member  ____Junior Member

If you do not receive your official membership card

within 30 days, notify your secretary                                                                       By_________________________________________


______Card sent         _______Key Sent

Please visit our website:  www.pineriversportsmans.webs.com

for updated information on club activities, calendars, pictures and upcoming events.

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