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MEMBERSHIP APPLICATION

Name_________________________________ Address_______________________________   City_______________  State________  Zip_________   Phone_________________   Birth Date___________  Spouse Name______________       Individual Membership for NRA Members    $80.00_____    NRA Number  ___________________________   Family Membership for NRA Members  $85.00_____   Individual Membership for Non-NRA Members  $90.00_____   Family Membership for Non-NRA Members  $95.00_____   Mail to:  Beckley Gun Club, PO Box 2101, Beckley, West Virginia    25802

Print-Membership Application Form

Name______________________  Address____________________________   City____________________  State______  Zip_______  DOB____________   Day ph.___________  Evening ph________________     Course Fee $35.00_________   Type of Firearm you will use_________________________________   Your E mail Add.__________________________________________     *  Two longer courses are available after completing the short course or to current concealed carry permit holders.   Please enroll me in the short course.  I realize that reservations are taken on a first come, first served basis and reservations cannot be confirmed without a deposit, therefore, I am enclosing a check for $20.00 to reserve my place in class.  I will be paying the balance upon arrival at class.  After we receive your application we will contact you to inform you of the earliest available class date.   Please return the completed form and deposit to:  Beckley Gun Club, PO Box 2101, Beckley, WV  25802

Print-Short Course Application