LEWIS-CLARK WILDLIFE CLUB

Membership Application


Date_____/______/___________

Name________________________________________________________

Address______________________________________________________

City_____________________________ State_________ Zip____________

Phone Number (_____)___________________

Would you prefer to receive monthly newsletters by Email?   _____YES   _____NO

Email:_____________________________


Are you an NRA member?   _____YES   _____NO

NRA#______________________   Exp. Date:________

The NRA# can be found above your name on the HUNTER or RIFLEMAN magazines


Are you a military veteran?   _____YES

******************************

Standard Single or Family Memberships are $30/Year
Optional Super Shooter Card is an additional $150/Year

Family rate includes: member, spouse and youth under age 18
Super Shooters are allowed unlimited range visits and no range fees
All memberships run from January 1 to December 31


Please print this form & mail it with your check to:

L-C Wildlife Club
P.O. Box 146
Lewiston, ID 83501