Membership Application

*First Name *Last Name *Address *City *County *State *Zip *Phone (xxx)xxx-xxxx Spouse Name *Birthdate (xx/xx/xx) *Employer/Retired *Do you know two Charter Members?
yes  No  Charter Member # 1 Charter Member # 2 *Are you a NRA Member
Yes  No  Whats your NRA # *I am Interested in:
Hunting  Fishing  Boating  Trap  Skeet  Rifle Range  *What is your main interest in this Club?
Rifle Range  Skeet  Trap  Other
*Comments
*Email Address *I DESIRE TO HELP AND GIVE SUPPORT TO THE K.V.S. CLUB INC.( ANNUAL DUES $25.00)
YES  NO  *Applicant's Signature

All applications are reviewed and voted on at our monthly meeting.

The meeting is the 2nd Monday of every month.

At 7:00 pm

You must go to the meeting to get voted in.

(or make other arrangements)

If your application is refused. Your dues will be refunded.