Membership Renewal Form Pay your yearly membership dues Name* First Last Phone*Email* Address* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Which Groups are you Affiliated With? Select All NRA TSRA NSSA/NSCA ATA SCTP 4H List other Shooters in Household.List other shooters in your household: Note: Wife or husband of the club member living at the same address as the member will be extended full privileges of the club with the exception of membership. Children up to 18 years of age or 23 if attending a college or university are extended junior membership status without fee.Yearly Membership Fee Price: Consent* I agree to the privacy policy.The Ellis County Sportsman’s Club is exclusively operated by its members, who volunteer their time and talent. Everyone is expected to do his/her share of the work at the club. If you agree to help with the work detail as listed above, please sign below. Applicant hereby releases and discharges The Ellis County Sportsman’s Club and its agents/employees from any and all claims and damages of every kind, for injury to or death of any person or persons, and for damage to or loss of property arising out of or attributed directly or indirectly to the operations or performance of The Ellis County Sportsman’s Club. I hereby swear that I have not been convicted of any crime involving the use of a firearm, nor am I forbidden by state or federal law to possess a firearm. In submitting my name for membership in The Ellis County Sportsman’s Club, I hereby agree to abide by all rules and regulations set forth by The Club and the Board of Directors.Credit CardCard Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.
