Savannah River Rifle and Pistol Club - Membership Application
PO Box 5337 ~ Aiken, SC 29804
Email: nrarifleman@aol.com

Name _____________________________________________

Address _____________________________________________

_____________________________________________

Telephone _________________ E-mail _____________________

Sponsor _____________________________________________

NRA membership number _________________________________

Shooting Interests (Circle as applicable)

Rifle: High Power Smallbore Service Benchrest Silhouette

Pistol: Centerfire Rimfire Action Bullseye Cowboy

Shotgun: Trap Skeet Targets Hunting Plinking


Oath: I CERTIFYthat I am a citizen of the United States of America, that I am not a member of an organization or group having as its purpose or one of its purposes the overthrow by force and violence of the Government of the United States or any of is political subdivisions; that I have never been convicted of a crime of violence; and that, if admitted to membership, I will fulfill the obligations of good sportsmanship and good citizenship.

Applicant Signature: __________________________________ Date:___________

Dues must be submitted with the application, according to the schedule (date/dues) as follows:

January through March $100 April $90 May $80 June $70 July $60

August $50 Sept. $40 October $30 November $20 December $10

Special event or seasonal discounts may be levied at the Executive Committee’s discretion.
Current SC Certified law enforcement officers pay one-half rate.

Amount submitted with application: $ ________________

Application Reviewed by Executive Committee on this date: ________________________

APPROVED _________________________________________ or REJECTED
                                    Signature and Title of Club Officer