COSSA

COSSA

CENTRAL OREGON SHOOTING SPORTS ASSOC.

MEMBERSHIP APPLICATION

General membership is open to any person 18 years or older. Family memberships are available with a privileges extended to the immediate family, living at the same address. Adults must supervise children under the age of 18.

To continue to improve the range we need your help. You will be asked to volunteer time to assist on projects. You will receive a credit towards your next year's dues at the rate of $8 per hour for time worked. Also, you will receive a $5 referral credit for each new member you sponsor. In short, you can offset the entire cost of the next year's dues. These credits shall not exceed the amount of the next year's dues and is not cumulative to succeeding years.

Effective January 1, 2007 annual dues for a new individual membership is $75 and $100 for a family membership

Membership requires all shooters to follow Fundamental Gun Safety Rules. Infractions of rules and regulations can lead to expulsion. Submitting this application for membership indicates agreement these terms.

For more information call Bill Fockler @ (541) 389-4808

Member Information:

Name____________________________________________________________ Date______________________

Address______________________________________________________________________________________

City___________________________________________ State_____________ Zip________________________

Phone_________________________________________ Date of Birth __________________________________

E-mail_______________________________________________________________________________________

NRA Member Yes___________ No_____________ Member Number___________________________________

SPONSOR____________________________________________________________________________________

Family Members:

Name________________________________________________________ Age____________________________

Mail to: COSSA                                                                                                     Meetings at Bend VFW Hall

                 P.O. Box 1606                                                                                         4^th St. and Olney Ave. @ 7PM

                Bend, Oregon 97709                                                                             2^nd Thursday of the month

For Office Use Only:

Paid___________ Cash__________ Check No._____________ By_________________________________

Renewal: Yes____________ No___________

Rev 11/10/06WEB