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.: