West Liberty Gun Club Membership Application
Membership payments are due annually on October 1st of each year. New Memberships
will be pro-rated in order to align dues with October 1st. Renewals are not eligible for
pro-rated dues.

NEW MEMBERS - When applying DO NOT pay for your membership until you have completed and submitted the application. The West Liberty Gun Club Secretary will email you with the exact amount you owe for your membership.
Email address *
Section 1 - Member Information
All information is required (*) unless otherwise noted.
Associate Members & Junior Membership information will be collected in Section 2.

If you would like to add an Associate, Junior or Collegiate Membership to your existing
Annual Membership please email us at thewlgc@gmail.com and we will walk you
through that application process.
New Membership / Renewal *
First Name: *
Your answer
Last Name: *
Your answer
Street Address *
Your answer
Apartment / Unit # (if applicable)
Your answer
City *
Your answer
State *
Your answer
Zip Code *
Your answer
Home Phone Number (123-456-7890) *
Your answer
Cell Phone Number (123-456-7890)
Your answer
Date of Birth (Month/Day/Year) *
Your answer
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