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New Member Waiting List Request
PSC Shooting Club, Inc. (PSC) is a 100% National Rifle Association (NRA) private gun club meaning that all PSC Members must also be NRA Members.
All prospective Members are eligible for membership in accordance with then-existing Board policies. The PSC Waiting List is not operated on a strict first-come-first-served basis as preference is given to Legacy Members. Submitting this New Member Waiting List Request does not guarantee that you will be afforded the opportunity to join PSC.
All information marked with (*) is required.
Prefix
Mr.
Ms.
Mrs.
Miss
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First Name
(*)
Please type your full name.
Middle Initial
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Last Name
(*)
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Date of Birth (xx/xx/xxxx)
(*)
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Street & No.
(*)
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City
(*)
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State
(*)
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Zip
(*)
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Preferred Phone No. (xxx-xxx-xxxx)
(*)
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Secondary Phone No. (xxx-xxx-xxxx)
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E-mail
(*)
Invalid email address.
Occupation
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________________________________________
*** NRA MEMBERSHIP INFORMATION: ***
Are you currently an NRA Member?
(*)
Yes
No
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If yes, your NRA Member Number
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NRA Member Expiration Date
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Upload a scanned copy of your NRA Membership Card or label.
Only pdf, jpg and gif files can be submitted.
_________________________________________
*** PSC REFERENCE INFORMATION ***
Are you related to a current or deceased PSC Member?
(*)
No
Yes
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If yes, what is the PSC Member's name?
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What is the PSC Member's membership number?
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What is your relationship to the PSC Member?
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_______________________________________
*** PSC EXPERIENCE & INTERESTS ***
What is your primary interest?
(*)
Rifle
Pistol
Shotgun
Airgun
Archery
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I am interested in:
Informal shooting
Match shooting
Juniors Program
Ladies Program
Training
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I would use PSC ranges primarily on:
Saturdays/Sundays
Weekdays
Weekends and Weekdays
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Counting yourself, how many people would regularly shoot with you at PSC?
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Have you shot at PSC in the past?
Yes
No
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If yes, did you shoot as a former Member, guest or in a match?
Guest
Former Member
Match
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_______________________________________
*** Military Service ***
Are you on active duty in the U.S. Armed Forces, or were you honorably discharged from active duty within the last 365 days?
No
Yes
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If yes, please scan and upload a copy of your military ID or DD214.
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______________________________
*** SUBMIT YOUR REQUEST ***
By clicking the "Submit" button and submitting this PSC Shooting Club New Member Waiting List Request, you are certifying that you are the person identified in this application and that all information is true and correct.
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Please review your form and then click "Submit."
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