Ellwood/Wampum Rod and Gun Club
Application for Membership: Ellwood/Wampum Rod & Gun Club
Memberships: Annual memberships begin January 1st of every year
Dues must be paid by January 31st to avoid a late fee ($10.00)
Name ______________________________ Birthdate & Age________
Street ___________________________________________________
City ________________________ State ________ Zip Code_______
Phone Number ( ) _______- ________ Date ___________, 20____
Applicant's N.R.A. membership number and expiration: Number________________ Expiration Date_______
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Initiation______ SR.______R.______JR. _____ F. _____
CHECK #_____ CASH ______ KEY #______ SL. ______ RL. ______
Signature_____________________________________________
(Name of club member)
All members shall be citizens of the United States of America!
A "New Member Initiation Fee" of $10 will be assessed to all new regular and
senior members. Current regular and senior members must renew their
membership by January 31st of each year to avoid paying the initiation fee.
Regular membership (18 to 64 years old): $40
Family membership: $55 (Consisting of an adult/spouse and children under age 18)
Senior membership (65 years & older): $20
Lifetime membership (55+ years old, with 10 years prior paid dues): $400
Senior Lifetime membership (65 years & older): $200
Rifle range key (18 years & older): $10
All new applicants for membership must be a member of the National Rifle Association (N.R.A.) or join the N.R.A. at the time of application and keep their N.R.A. membership current. When renewing your membership, you MUST show your current NRA membership card.
Current members who are actively serving in the military will be
considered to have all privileges of a continued membership. Annual dues will be suspended.