IVRPA MEMBERSHIP APPLICATION
CIRCLE ONE --
ANNUAL-$35.00.................................JUNIOR-$10.00..............................................LIFE-$350.00
CIRCLE ONE -------- NEW
MEMBERSHIP..........................RENEWAL OF MEMBERSHIP
IMPERIAL VALLEY RIFLE AND PISTOL ASSOCIATION, Inc.
P.O. BOX 241, IMPERIAL, CALIFORNIA 92251-0241 US
NAME (print):
__________________________________________________________________________________
(LAST,) (FIRST)
(MIDDLE)
ADDRESS:
____________________________________________________________________________________
(CITY,) (STATE)
(ZIP+4 preferred: http://zip4.usps.com)
TELEPHONE
NUMBER(S):
_______________________________________________________________________
E-MAIL
ADDRESS: ______________________________________________________ AGE: __________________
N.R.A.
MEMBER # ______________ PROFESSION:
___________________________________________________
HOBBIES: _____________________________________________________________________________________
OTHER
CLUB AFFILIATIONS:
______________________________________________________________________
As a
member of the IVRPA, Inc., I agree to abide by the rules and regualtions and to
support my club to the best of my ability and complete two mandatory days of
range duty and/or work parties per year.
SIGNATURE:
____________________________________________________________________________________
RECOMMENDED
BY: _____________________________________________________________________________
(The
selection below to be completed by IVRPA officers/members)
GENERAL
MEMBERSHIP APPROVAL: _____________ DENIAL: ________________ DATE:___________________
Please
bring this application with appropriate fees to the IVRPA monthly meeting at
7:00 p.m. on the 1st Tuesday of each month.
The meeting is held at Dion International
Trucks, 397 East Evan Hewes Highway, El Centro, Ca 92243-9707. For information call Ken Claverie at (760)
357-4006 or e-mail kenval@thegrid.net or Jerry
McDonald at (760) 427-0051. Additional
IVRPA information, maps, range schedule, events and contacts can be found on
the IVRPA website at http://ivrpa.net
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