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 (age 12 to 17) $15 & $1 INITIATION FEE - REGULAR (age 18-64) $70 & $20 INITIATION FEE - SENIORS (age 65 AND OVER) $35 & $20 INITIATION FEE - KEYS ARE AVAILABLE TO REGULAR & SENIOR MEMBERS $2 

YOU MUST ATTEND A MEETING TO APPLY AND BE ACCEPTED INTO MEMBERSHIP.  AT WHICH TIME YOU WILL GO OVER THE RULES BEFORE APPLICATION CAN BE APPROVED.  DUES ARE DUE AT THAT TIME, MEMBERSHIP CARD AND KEY WILL BE ISSUED. 

MEETINGS ARE HELD THE 1ST 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 Provided

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

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