PSC Shooting Club 2010-2011 Membership Renewal New badges will be mailed beginning May 1st

PSC Member Number

Quantity	Description	Price
	PSC 2010-2011 Membership Renewal	$150.00
	2010-2011 Associate card Renewal for your Spouse or adult child (18-23) living in your home that has has a current Associate Card	$20.00
Use this form to renew your PSC Membership for membership year 2010-2011. If you have any questions, feel free to contact Tom Neal the membership director at membership@psc-range.com
Name, address, and phone number will be collected on the next page. Please provide some additional information.

	Is this an address change?
	Associate Name		Associate Birthdate or 'Spouse'