CHATUGE GUN CLUB
P.O. Box 86
Hiawassee, GA 30546
Membership Renewal Form: Fill out online, then print and bring to a
meeting, or mail with your dues. DO NOT discard your gate key card.
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
Shooting Interests:
Casual Shooting
Collecting
Competitive Shooting
Reloading
Hunting
Dealer/FFL
Firearms Interests:
Pistol
Rifle
Shotgun
Black Powder
Other -
Membership Renewal -- dues $35.00 -- Membership Number
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.

Sign and date below, after page is printed.

Dues collected: $________________  Cash_____  Check_____

Signature of Applicant / Member: _________________________________  Date: ____________

Membership approved and accepted by: _____________________ Key Card # ______________
                                 
                                                                Rev: 4/19/2016