Membership
Application can be mailed to:
515315 Madras Hwy, Prineville OR 97754
Lone
Pine Rangers
Membership
Application
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Name:
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DOB:
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Address:
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City:
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State:
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ZIP:
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Phone:
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Alias:
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SASS#:
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CMSA#:
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E-Mail:
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Individual Annual Membership
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$45.00
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Family Annual Membership
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$65.00
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Associate Member Non-Shooting
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$25.00
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Lifetime Membership Each Person
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$200.00
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Membership
in Lone Pine Rangers includes: Certificate, badge and
electronic news; regarding practices, shoots and meetings as
well as meeting minutes.
Add
Family Members:
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Name:
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DOB:
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Alias:
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SASS#:
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CMSA#:
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Add
Children(s) name: (17
& under):
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Name:
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DOB:
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Alias:
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SASS#:
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CMSA#:
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Name:
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DOB:
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Alias:
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SASS#:
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CMSA#:
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Name:
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DOB:
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Alias:
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SASS#:
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CMSA#:
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Name:
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DOB:
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Alias:
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SASS#:
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CMSA#:
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SASS or CMSA memberships not required but encouraged.
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