Carmi Rifle Club
After submitting this form, please send payment of $40 to: Carmi Rifle Club, P.O. Box 65, Carmi, Illinois 62821.
First and Last Name
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Age *
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Mailing Address *
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City, State and Zipcode *
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E-mail
Please be VERY accurate so that we can be sure to get newsletters and other important club events to you in a timely manner.
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Home Telephone (Please include Area Code) *
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Are you in the N.R.A. *
What is your N.R.A. Membership Number
Thank you!
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In Case of Emergency, Please Notify (Include Telephone Contact, Please!) *
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What are your shooting Interests? *
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What is your Occupation?
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Why do you want to become a member of the Carmi Rifle Club? *
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Would You be willing to help with club events? *
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