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Middleboro Sportsmen’s Club  P.O. Box 633  Middleboro, MA  02346 Phone: (508) 947-9670
Online MEMBERSHIP APPLICATION
Applicant Must hold valid Ma. LTC and NRA membership
THIS MUST BE PRESENTED IN PERSON at a regular meeting.

DATE:             ______                            _____                                                  Ma FIREARMS PERMIT#:  ____                       _____________

Name:                                                                                   NRA Membership#:                                         

Address:                                                                               Phone#:        (          )                                      

City/Town:                                                                              Email Address:                                                

Zip Code:                                                                              Age:                                 
 

SPONSORED BY:  (Member’s Name)                                                                           

Reason(s) for joining the Club:                                                                                                                       

Do you plan on attending meetings whenever possible?   Yes_____   No ____ 

Have you every applied or been a member before?         Yes_____   No ____ 
                                                               If so, when?                                     

Do you belong to any other sporting organizations?   Yes_____   No ____      
Please List:  ____________________________________________________________________________  
Prior/current Military Service?  Yes ____  No ____   Branch _______________________

PERSON TO NOTIFY IN CASE OF EMERGENCY:                                                                                          

Daytime Phone Number(s):                                                                                                 

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MEMBERSHIP FEES: :

1.       One (1) Time INITIATION FEE:               $50.00*             *Must be submitted with the application.  All

2.       ANNUAL DUES:                                            $75.00              applicants must appear at the next regular meeting

                                                                                                    following the submission of this application for an

                                                                                                    interview with the review board.

       TOTAL FIRST YEAR MEMBERSHIP FEE: $125.00

Future Membership Fees:

Yearly Membership Fee (Age 61 and under)         $75.00   an annual maintenance fee may apply

Yearly Membership Fee (Age 62+ or disabled)     $50.00   Spousal membership is 1/2 of member fee.

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APPROVED:  Yes_____   No ____  (If NO (Disapproved), Note Date and Reason):  ____________________________________________     

PRESIDENT SIGNATURE:                                                                         

BOARD OF DIRECTORS:  (Where applicable):