Membership Application    -     FALL RIVER ROD & GUN CLUB, INC.
NAME:
I AM INTERESTED IN :
ADDRESS:
CITY/TOWN:
DATE:
STATE / ZIP:
PHONE:
E-MAIL:
D.O.B.:
(Optional) - List FRR&G Club member known by you:
Instructions: Fill in application completely.  Print out the form and attach check payable to Fall River Rod and Gun Club, Inc. Mail check to P.O.Box 571, Fall River, MA 02722. Please note that along with your dues and initiation fee, you must join one of the organizations listed below. Fill out the form of the organization you wish to join.
Yearly Dues:    $80.00
Initiation Fee:    $80.00
Total:    $160.00
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If you are already a member of an organization listed below enter membership number:
I believe in the aims and purposes of the Fall River Rod and Gun Club and would like to enjoy the benefits of membership.
_______________________________   _______
Signature
Date
Gun Owners Action League
Dues: $30.00
37 Pierce St.  P.O. Box 567, Northboro, MA 01532  Tel: (508) 393-5333
DATE: _______________
LAST NAME: _________________________________ FIRST: ________________________________
STREET ADDRESS: __________________________________________________________________
CITY/TOWN: ________________________________ STATE: ________ ZIP CODE: ______________
COUNTY: _________________________________________________ PHONE: __________________
OCCUPATION: ______________________________________________________________________
I AM A MEMBER OF THE FALL RIVER ROD AND GUN CLUB, INC.
                                                                                                SIGNED: ______________________________
PLEASE PRINT
National Rifle Association                 RECRUITING #XC004909
11250 WAPLES MILL RD. FAIRFAX, VA 22030
Dues: $25.00
DATE: _______________
DATE: _______________
Dues: $20.00
Bristol County League
PO Box 95
Fall River, MA 02722
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LAST NAME: _________________________________ FIRST: ________________________________
STREET ADDRESS: __________________________________________________________________
CITY/TOWN: ________________________________ STATE: ________ ZIP CODE: ______________
COUNTY: _________________________________________________ PHONE: __________________
OCCUPATION: ______________________________________________________________________
I AM A MEMBER OF THE FALL RIVER ROD AND GUN CLUB, INC.
                                                                                                SIGNED: ______________________________
LAST NAME: _________________________________ FIRST: ________________________________
STREET ADDRESS: __________________________________________________________________
CITY/TOWN: ________________________________ STATE: ________ ZIP CODE: ______________
COUNTY: _________________________________________________ PHONE: __________________
OCCUPATION: ______________________________________________________________________
I AM A MEMBER OF THE FALL RIVER ROD AND GUN CLUB, INC.
                                                                                                SIGNED: ______________________________
OCCUPATION:
Archery
Fishing
Rifle
Pistol
Sporting Clay
Trap
Skeet
Hunting
Gun Owners Action League
NRA
Bristol County League of Sportsmen