Members Name:                                                                        DOB:  

Address:                                                                                   Circle Division:       Police        Civilian

City:                                      St.:             Zip:                           Name Of Dept:

Phone Number:                                                                         Police must provide a copy of their ID

Work Phone:                               Email Address:

Cell Phone:                                                                               If  New Member indicate by circling:    Yes

POLICE DIVISION, YOU MUST PROVIDE A COPY OF VALID ID’s

Membership Type
(Check Box That Applies)

U.S. Funds

Check Box

Canadian Funds

Check Box

65 & Over Club

Check Box

New Member

Check Box

Amount

Indoor Season

$30

$40

$25

$30

________

Outdoor Season

$30

$40

$25

$30

________

Both Indoor & Outdoor

$50

$65

$25

$30

________

Name of new member you sponsored last year

Name of member who sponsored you this year

Sponsorship Discount:
(To be applied by Treasurer)

Total Amount Paid:

________

Dues will be accepted through the Indoor Oakland County Match to have scores count for the Indoor Season.
After that, your indoor scores will only count from the date your dues are paid. We will not go back to find scores before the date of your payment
No Exceptions.
Outdoor season has until the last day of May to pay dues. After that, your outdoor scores will count, but only from the date your dues are paid. We will not count any scores shot before payment.
No Exceptions.

65 & Over Club: You must be 65 at the time you pay your dues.

MEMBERSHIP DISCOUNT PROGRAM

New Member: If you are a new member or have not been a member for the previous 3 consecutive years, you can join for a one-time membership price of $30 US or $40 Canadian. This will be for the calendar year you join only.
Current Members: Every new member you sponsor, you will receive $5 per member off you next year's dues. (Sponsor 3 new members and receive $15 off you next year's dues.) The treasurer will apply your discount on our renewal invoice, but you are responsible for letting the treasurer know the name of the new member you sponsored.

Please remember to notify the treasurer of any changes of address, phone numbers, email, etc. or you could miss mailings.

Application accepted by: (Must be a Board Member)

Name:___________________________________________________

Date:_______________________Amount Taken:_________________

Revised 11/06