Bremerton Trap and Skeet Club
4956 State Highway 3 SW
Port Orchard, WA  98367
(360)  674-2438
info_btsc@yahoo.com

MEMBERSHIP FORM OR RENEWAL

DATE:______________MEMBERSHIP YEAR:_________________

NAME:____________________________________________________________________________________________

ADDRESS:_________________________________________________________________________________________

___________________________________________________________________________________________________

PHONE: (      )__________________         E-MAIL:  _______________________________________________________

OCCUPATION:______________________________________________________________________________________

NRA MEMBERSHIP NUMBER: __________________________________________

SHOOTING INTEREST:          TRAP________        SKEET_______      SPORTING CLAYS ______  CONT______

I understand that the Bremerton Trap and Skeet Club, Inc. is a volunteer organization.  I agree to participate
in club operations by Donating my services each membership year, as the board of trustees may request, to
futher the goals of the club.  I agree to abide by the Club Bylaws.

SIGNATURE:_______________________________________________________________________________________

YEARLY DUES:  $60  **MEMBERSHIPS INCLUDE FAMILY MEMBERS  UNDER 18 YEARS OLD. ** 
SENIOR CITIZENS (AGE 65 AND OLDER) and ACTIVE DUTY MILITARY:  $50. 
**$10.00 ONE TIME INITIATION FEE FOR ALL NEW MEMBERS.**

CLUB AGENT:______________________________________________________________________________________

Please print this form, fill in, and return to the club with your check.  If mailed to the club (at the above
address), your member card will be mailed back to you within 5 working days. 

WITHOUT YOUR SUPPORT, WE WILL CEASE TO BE A CLUB!