February 8, 2017 Test Membership Paypal Please enable JavaScript in your browser to complete this form. NOTE: THIS IS AN ONLINE FORM! DO NOT PRINT THIS FORM! A manual Renewal Form for printing can be found here MembershipPlease select oneNew Single Membership - August - $330.72New Family Membership - August -$360.00Renew Single Membership $209.15Renew Family $261.33Senior Single Membership Renewal (must have been a member for 5 years and be 65 or older) $104.58Senior Family Membership Renewal (must have been a member for 5 years and be 65 or older) $130.65New memberships include a one time $200.00 initiation fee. Name *FirstLastDate of Birth *Email *Membership ID #Address *Address Line 1Address Line 2CityAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeNRA NumberPhone *OccupationNRA Life MemberNRA Life Member Spouse Information Spouse First NameSpouse Last NameSpouse NRAMinor Dependent Children 1st Dependent First Name1st Dependent Last Name1st Dependent Age2nd Dependent First Name2nd Dependent Last Name2nd Dependent Age3rd Dependent First Name3rd Dependent Last Name3rd Dependent Age4th Dependent First Name4th Dependent Last Name4th Dependent Age5th Dependent First Name5th Dependent Last Name5th Dependent Age6th Dependent First Name6th Dependent Last Name6th Dependent AgeDonationI have not been able to volunteer at the club as much as I would like due to my busy schedule, however I would like to donate a little additional to help hire the work done. *** This donation in NOT tax deductible ***Total Amount$0.00StatementI am applying for membership in the Wildlife Committee of Washington, Inc., a non-profit organization dedicated to the preservation of our wildlife and environment, to the education of the public and our youth in hunting, firearm and archery safety, to the promotion of general firearm and archery marksmanship, including the various competitive shooting sports. I will support those aims. I understand the administration and all activities of the Wildlife Committee of Washington, Inc. are conducted through the unpaid services of its members and I agree to donate my time and expertise as needed. I warrant that I am of good character and have a legal right to own and use firearms in the United States and the State of Washington. I understand that if the initiation process is not completed within three (3) months it could result in the forfeiture of all fees paid with this application. The initiation process includes attending an orientation session and being voted into membership by the Board of Directors. No membership benefits are granted until the initiation process has been completed.Please check the calendar for the next orientation meeting which is held in the Chalet at 7pm the second Tuesday of each month. Waiver of Liability I have read and understand the range safety rules and understand the dangers associated with the use of firearms and archery equipment which could include death, personal injury and property damage. In consideration for being permitted use of the facilities and entry to the premises, and on behalf of my family, estate, heirs and assigns, I assume all risk of death, personal injury and property damage and I hold harmless the Wildlife Committee of Washington, its officers, directors, members, agents, and employees from all claims of action, or liability of any kind. Statement Confirmation *Please check to state you read the aboveAfter you hit submit you will be taken to PayPal to securely complete payment. Please note that you do not need a PayPal account to pay. PhoneSubmit