Member Application

                                                MEMBERSHIP APPLICATION

      Gold Country Out Riders

                                   NEWCASTLE,  CA

                                                       A COWBOY FAST DRAW CLUB

        DATE: _________________  

 

NAME ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­:________________________________________Alias: ________________________________________

ADDRESS:___________________________________________________________________________________

PHONE NUMBER: ______________________________________CELL:__________________________________

EMAIL ADDRESS: _____________________________________________________________________________

CFDA NUMBER:_________________________________________NRA NUMBER:_________________________

 

GOLD COUNTRY OUT RIDERS CLUB DUES

·         CLUB ANNUAL DUES:                    $25.00  

·         CLUB 6 MONTHS DUES:                 $12.50    

·         CLUB LIFE MEMBER:                     $250.00                                                                

 DATE AND AMOUNT PAID:  ________________________________________.

 

C.F.D.A. - DUES   (Mandatory “If” you want to secure your alias and want to participate in CFDA events)

·         New Adult                      $

·         Yearly Renewal              $

·         Lifetime Membership      $

Amount And Date paid:_____________________________________________.