| Name_______________________________ |
Occupation___________________________ |
| Home Address________________________ |
Work Address________________________ |
| ___________________________________ |
Company Name_______________________ |
| City________________________________ |
Co. Address__________________________ |
| State__________
Zip__________ |
City_______________State____Zip_______ |
| Telephone (Home)____________________ |
Telephone (Work)_____________________ |
My Interests Are: 
Skeet
Trap
Sporting Clays
Small Bore Rifle
Hunting |
| Other Hobbies:
______________________________________________________________ |
Other Clubs &
Organizations:
___________________________________________________
__________________________________________________________________________ |
|
|
|
Annual Dues are $100.00 per year PLUS
eight hours of volunteer service to the Club. This service
requirement can be waived for an assessment of $50.00.
I agree to donate eight hours of volunteer
service to the Club each year. If I do not complete my
eight hour commitment, I will be billed $50.00. I hereby certify
that I am 18 years of age or older. (Sign Below)
Signature of
Applicant:____________________________________Date:_________________ |
|
Initiation fee and first year dues must
accompany this application.
Applicant must be sponsored by three members in good
standing. |
| Sponsor's
Name:________________________ |
Signature:____________________________ |
| Sponsor's
Name:________________________ |
Signature:____________________________ |
| Sponsor's
Name:________________________ |
Signature:____________________________ |
|
|
|
The Pacific Rod & Gun
Club, Inc. is a nonprofit organization which operates and
maintains a recreational facility for the benifit of the
public. It is unlawful for such organization, and the
Pacific Rod & Gun Club does not, discriminate in its
membership application or acceptance procedures on the basis of
race, color, creed, religion, ancestry, national origin, age,
sex, political affiliation, sexual orientation, disability, or
any other grounds prohibited by law. Any complaint shall
be reported to the Recreation and Park Department of San
Francisco. |
|
|
For Club Use Only
Initiation Fee: $75.00 plus Prorated Dues at
$100 per year-$8.50 per month of $_____ Check/Cash
Register Receipt Dated__________ Date of
Membership_________ Membership Number_______
Treasurer
Notified
Card Sent
Packet Sent
Breeze Notified |
|
|
