New Membership Application: Fill out form on line, (so we can read it) then print &
mail it to Chatuge Gun Club, P.O. Box 86, Hiawassee, GA 30546 (
DO NOT SEND CHECK)
Date
E-Mail Address
Name
Date of birth
Address
State
City
Zip
Phone number (home)
Cell number
Profession (optional)
National Rifle Association (NRA) Status
Life Member
Annual Member
NRA Membership No.
I am not a member of the NRA, but I wish to join.
NRA Instructor
4H Coach
NRA Training Counselor
NRA Coach
Interests:
Pistol
Rifle
Collecting
Reloading
Instrutor
Competition
Shotgun
Dealer/FFL
Black Powder
Current dues will be collected at the time your application is approved for membership.
YOU HEREBY CERTIFY TO THE CHATUGE GUN CLUB AND, AS A CONDITION OF CONTINUED MEMBERSHIP, RE
CERTIFY BY YOUR PAYMENT OF ANNUAL DUES, THAT:
A. YOU HAVE READ AND FULLY UNDERSTAND THE CURRENT RANGE RULES AND THAT BOTH YOU AND YOUR
GUESTS WILL ABIDE BY THESE RULES AT ALL TIMES WHILE AT THE RANGE;
B. YOU UNDERSTAND THAT VIOLATION OF THE RULES CAN BE GROUNDS FOR LOSS OF MEMBERSHIP AND
FORFEITURE OF ALL DUES FEES PAID; AND,
C. YOU HAVE NOT BEEN CONVICTED OF A FELONY IN ANY FEDERAL, STATE OR LOCAL JURISDICTION AND ARE NOT
OTHERWISE DISQUALIFIED FROM LAWFULLY POSSESSING OR USING FIREARMS.
D. YOU UNDERSTAND THAT THE ABOVE REPRESENTATIONS WILL BE RELIED UPON BY THE CHATUGE GUN CLUB IN
ACCEPTING YOUR MEMBERSHIP APPLICATION.

As a requirement of membership, you hereby grant your irrevocable proxy to the Club’s Secretary who shall hold such proxy
with respect to general membership meetings of the Club.  The Secretary shall assert the proxies of that number of absentee
members sufficient to constitute a quorum.  The proxy of any member shall be withdrawn if that member is physically present
at the meeting.  The Secretary shall vote such proxies on any issues raised in the same percentage as those cast by
members present and voting.  If the Secretary should not be present, then such other officer as the Board may designate
shall hold the proxies.

Sign and date below, after page is printed.

Dues collected: $________________  Cash_____  Check_____ Application for new members - dues $60.00
(Payable at Orientation)

Signature of Applicant / Member: _________________________________  Date: ____________

Membership approved and accepted by: _____________________ Key Card # ______________
                   
                                                  Rev: 4/16/2019