Tuesday Action Shooting Club
Membership Application

Club dues:
$24.00 if you apply between January and June,
$12.00, if you apply between July and December.

Bring this form and your check to the match

Please fill out this form completely and legibly.

Date:

Name:

Address:

City/State/Zip:

Home phone:

Work phone:

Fax:

Email:

USPSA no.:

NRA no.: