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About
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Membership Application
Liability of Release / Waiver Form
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Member Log In
Phone: +99 (0) 101 0000 888
Facebook-f
Twitter
Member Login
Home
About
Events
Membership
Membership Application
Liability of Release / Waiver Form
Donation
Contact
Member Log In
Home
About
Events
Membership
Membership Application
Liability of Release / Waiver Form
Donation
Contact
Member Log In
Membership Application
Fill out the form below to apply to be a member.
View and Download Dug Hill Rod & Gun Club Bylaws >>
Application Information
Name
(Required)
First
Last
Address
(Required)
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Home Phone
(Required)
Mobile Phone
Email
(Required)
Date of Birth
(Required)
MM slash DD slash YYYY
US Citizen
(Required)
Yes
No
Hidden
NRA Member
Yes
No
Do you have a Handgun Qualification License (HQL)?
(Required)
Yes
No
State Issued
(Required)
Id Number
(Required)
Do you have an Open Carry or Concealed Carry Permit?
(Required)
Yes
No
State Issued
(Required)
Id Number
(Required)
Have you completed a Hunter's Education Course?
(Required)
Yes
No
State Issued
(Required)
Id Number
(Required)
Have you ever been convicted of, plead guilty to, plead no contest, or have been tried on an agreed statement of facts to a felony? If yes, please include details with application.
(Required)
Yes
No
Details
(Required)
Have you ever had any convictions as set forth above placed on the ste or inactive docket?
(Required)
Yes
No
Have you ever had a restraining order taken out against you or been convicted of domestic abuse? If yes, please include details with application.
(Required)
Yes
No
Details
(Required)
Can you legally own or purchase a regulated firearm in your state of residence?
(Required)
Yes
No
I agree that I have received a copy of the Bylaws and Liability of Release Form as part of this application. If accepted for membership, I agree to comply with all Dug Hill Rod & Gun Club (DHRGC) governing documents. I hereby make application for membership to Dug Hill Rod & Gun Club, Inc.. Annual membership dues (currently $125) and a one-time application fee of $75 are due at the time of application.
Signature
(Required)
Typing your name below acts as your signature.
Today's Date
(Required)
MM slash DD slash YYYY
Dug Hill Rod & Gun Club collects information for the purposes of background checks with application of membership to the Club. We do not sell or share you information outside of our Club.
Billing Information
Billing Address
Same as Address Above
Street Address
City
Alabama
Alaska
American Samoa
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Guam
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Northern Mariana Islands
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
U.S. Virgin Islands
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Annual Membership Dues
(Required)
Price:
Application Fee
(Required)
Price:
Subtotal
$0.00
Would you like to cover the fee we pay to process credit cards?
(Required)
Yes, add 3% to my membership application
Credit Card Fee
Price:
$0.00
Total
Credit Card
(Required)
Card Details
Cardholder Name
