If anybody is instested CVSC has opened up membership.
Due to our recent range improvements, we are excited to expand the available memberships to CVSC. We will be accepting a limited number of new or renewing members only at the club meeting on Wednesday May 15th at 6:30 pm at the Newberg Public Saftey Building. To join or renew, you must have proof of NRA membership in the form of the front cover of the NRA magazine that you receive monthly, or an email from the NRA confirming your membership or an NRA membership card with a date on it.
NOTE!!!! limited number of new or renewing members only at the club meeting
MEMBERSHIP APPLICATION - 2013
CHEHALEM VALLEY SPORTSMAN CLUB
P.O. BOX 333 NEWBERG, OR 97132
cvsc.us
PLEASE PRINT NEATLY DATE___________________
First Name________________________ Last Name____________________________
Address________________________________________________________________
City________________________ State____ Zip________ Phone (___) _____________
Email address___________________________________
DOB (MM/DD/YY) _______ NRA Member # ______________ Occupation_____________
PRINCIPAL AUTOMOBILE LICENSE(s) STATE___________LIC. NUMBER __________
All applicants must provide proof of full NRA membership. Attach a photocopy of your NRA membership card, or the original or photocopy of the address label from your current NRA magazine. Applications without proof of NRA membership will not be accepted. You must read the CVSC Standard Operating Procedure (SOP) and you must sign this form. Our SOP is available at the range, the Club web site, or upon request (include S.A.S.E).
ALL new members must pay a $50 Initiation fee plus their dues.
New Regular dues: $100 Jan-Dec; $75 Apr-Dec; $50 Jul-Dec; $25 Oct-Dec
New Senior dues (age 62+): $90 Jan-Dec; $67 Apr-Dec; $45 Jul-Dec; $22 Oct-Dec
INITIATION $50 + Dues $_____ =TOTAL $_________ Paid by Check#_____________
I do hereby certify I am a legal resident of good repute of the United States of America; I am not a member of any organization or group seeking forceful overthrow of the United States government or any of its political subdivisions; I have never been convicted of a crime of violence; I am not a fugitive from justice; I am not currently under indictment for any crime; I have never been convicted of a felony; I have never been committed to an asylum for the mentally unstable. If granted membership, I will fulfill the obligations of good sportsmanship and citizenship. I do further acknowledge I have read the Standard Operating Procedure (SOP) of the Chehalem Valley Sportsman Club and I do understand the SOP. I agree to abide by the rules, realizing that violation of the SOP may result in disciplinary action (including legal action and/or expulsion from the club) by the Board of Directors.
________________________________ _____________
Applicant Signature Date
TO BE COMPLETED BY CLUB OFFICER: NRA MEM. OK ( ) ISSUED: KEY ( ) DATE of ORIENTATION_________ INIT_________
Page 1 of 2 REV 2013-0510
Please complete this portion of your Membership Application before submission.
All new member applications must provide either number 1. OR number 2:
1. ENCLOSE A COPY of your CONCEALED HANDGUN LICENSE, FFL, OTHER WEAPONS PERMIT or LAW ENFORCEMENT IDENTIFICATION.
_________________________________________________________________________________
Concealed Handgun License:
State of__________ County______________ Permit # ______________ Expires _______
Other Weapons Permit:
State of__________ County______________ Permit # ______________ Expires _______
Federal Firearms License#___________________________________ Expires______
Law Enforcement Identification_______________________________
2. TWO PERSONAL REFERENCES
PERSONAL REFERENCES MUST BE ANY OF THE FOLLOWING:
Current CLUB OFFICER or DIRECTOR
PUBLIC OFFICIAL or LAW ENFORCEMENT OFFICER
LANDLORD, EMPLOYER, BUSINESS COLLEAGUE, CLERGY, PHYSICIAN,
TEACHER/PROFESSOR
PLEASE PRINT ALL INFORMATION CLEARLY
Reference Name______________________________________________
Address_____________________________________________________
City____________________________ State______ Zip_____________ Relationship_____________________ Phone # ____________________
*************************************************************************************
Reference Name______________________________________________
Address_____________________________________________________
City____________________________ State_______ Zip_____________
Relationship_____________________ Phone # ____________________
Mail completed forms with payment in full and proof of current NRA membership to:
Chehalem Valley Sportsman Club
P.O. Box 333
Newberg, OR 97132
Page 2 of 2 REV 2013-0510
Due to our recent range improvements, we are excited to expand the available memberships to CVSC. We will be accepting a limited number of new or renewing members only at the club meeting on Wednesday May 15th at 6:30 pm at the Newberg Public Saftey Building. To join or renew, you must have proof of NRA membership in the form of the front cover of the NRA magazine that you receive monthly, or an email from the NRA confirming your membership or an NRA membership card with a date on it.
NOTE!!!! limited number of new or renewing members only at the club meeting
MEMBERSHIP APPLICATION - 2013
CHEHALEM VALLEY SPORTSMAN CLUB
P.O. BOX 333 NEWBERG, OR 97132
cvsc.us
PLEASE PRINT NEATLY DATE___________________
First Name________________________ Last Name____________________________
Address________________________________________________________________
City________________________ State____ Zip________ Phone (___) _____________
Email address___________________________________
DOB (MM/DD/YY) _______ NRA Member # ______________ Occupation_____________
PRINCIPAL AUTOMOBILE LICENSE(s) STATE___________LIC. NUMBER __________
All applicants must provide proof of full NRA membership. Attach a photocopy of your NRA membership card, or the original or photocopy of the address label from your current NRA magazine. Applications without proof of NRA membership will not be accepted. You must read the CVSC Standard Operating Procedure (SOP) and you must sign this form. Our SOP is available at the range, the Club web site, or upon request (include S.A.S.E).
ALL new members must pay a $50 Initiation fee plus their dues.
New Regular dues: $100 Jan-Dec; $75 Apr-Dec; $50 Jul-Dec; $25 Oct-Dec
New Senior dues (age 62+): $90 Jan-Dec; $67 Apr-Dec; $45 Jul-Dec; $22 Oct-Dec
INITIATION $50 + Dues $_____ =TOTAL $_________ Paid by Check#_____________
I do hereby certify I am a legal resident of good repute of the United States of America; I am not a member of any organization or group seeking forceful overthrow of the United States government or any of its political subdivisions; I have never been convicted of a crime of violence; I am not a fugitive from justice; I am not currently under indictment for any crime; I have never been convicted of a felony; I have never been committed to an asylum for the mentally unstable. If granted membership, I will fulfill the obligations of good sportsmanship and citizenship. I do further acknowledge I have read the Standard Operating Procedure (SOP) of the Chehalem Valley Sportsman Club and I do understand the SOP. I agree to abide by the rules, realizing that violation of the SOP may result in disciplinary action (including legal action and/or expulsion from the club) by the Board of Directors.
________________________________ _____________
Applicant Signature Date
TO BE COMPLETED BY CLUB OFFICER: NRA MEM. OK ( ) ISSUED: KEY ( ) DATE of ORIENTATION_________ INIT_________
Page 1 of 2 REV 2013-0510
Please complete this portion of your Membership Application before submission.
All new member applications must provide either number 1. OR number 2:
1. ENCLOSE A COPY of your CONCEALED HANDGUN LICENSE, FFL, OTHER WEAPONS PERMIT or LAW ENFORCEMENT IDENTIFICATION.
_________________________________________________________________________________
Concealed Handgun License:
State of__________ County______________ Permit # ______________ Expires _______
Other Weapons Permit:
State of__________ County______________ Permit # ______________ Expires _______
Federal Firearms License#___________________________________ Expires______
Law Enforcement Identification_______________________________
2. TWO PERSONAL REFERENCES
PERSONAL REFERENCES MUST BE ANY OF THE FOLLOWING:
Current CLUB OFFICER or DIRECTOR
PUBLIC OFFICIAL or LAW ENFORCEMENT OFFICER
LANDLORD, EMPLOYER, BUSINESS COLLEAGUE, CLERGY, PHYSICIAN,
TEACHER/PROFESSOR
PLEASE PRINT ALL INFORMATION CLEARLY
Reference Name______________________________________________
Address_____________________________________________________
City____________________________ State______ Zip_____________ Relationship_____________________ Phone # ____________________
*************************************************************************************
Reference Name______________________________________________
Address_____________________________________________________
City____________________________ State_______ Zip_____________
Relationship_____________________ Phone # ____________________
Mail completed forms with payment in full and proof of current NRA membership to:
Chehalem Valley Sportsman Club
P.O. Box 333
Newberg, OR 97132
Page 2 of 2 REV 2013-0510
