Majors GUN CLUB

FIRST  MI       LAST

DATE OF BIRTH

ADDRESS

CITY      ST       ZIP

HOME PHONE

WORK PHONE

CLOCK #   Enter NO if non-employee      CBN

HOME EMAIL

WORK EMAIL

E-CLUB MEMBER? YES NO

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ACTIVITY INTERESTS:
Pistol (Advanced Instruction)	YES	NO
Pistol (Competetion)	YES	NO
Small Bore Rifle	YES	NO
High Power Rifle	YES	NO
Bench Rest	YES	NO
Muzzle Loading	YES	NO
Shot Gun	YES	NO
Sporting Clays	YES	NO
Other:
Special Interest:
Conservation	YES	NO
Hunting	YES	NO
Reloading Pistol	YES	NO
Reloading Rifle	YES	NO
Reloading Shotgun	YES	NO
Other:(Waterfowling, etc.)

WORK COMMITTEE:   YES, I'LL HELP

Comments/Suggestions:

Contacts/Certifications/Specialities/Leadership Interest(s)?:

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You can submit the form electronically
or you can print it and send it along with
your ANNUAL DUES  to:

Dan Crenshaw
CBN 127
L3 Communications
10001 Jack Finney Blvd.
Greenville, TX  75403