Membership Dues

Clarence Shooting Club Inc.
Membership Dues Notice

Your yearly club dues are now due by January 1st. of each year.
Please fill in the form below as you prefer to have it listed in the club records.

Please mail your updated form and payment to the membership secretary only.

 

 

NAME:_______________________________________________________

ADDRESS:____________________________________________________

C/T/V/:_______________________STATE:_________ZIP:_____________

PHONE:_______________________E-MAIL:_______________________

E-MAIL NEWS LETTER: YES__________NO:_________

DUES:____$50.00_________

KEY BOB:___ $10.00_______

TOTAL DUE:_______________

DUES STATEMENT12042013

 

 

 

 

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