Membership Application Form
SECTION 1: MEMBER CONTACT INFORMATION
NAME
ADDRESS
CITY
STATE
D.O.B.
ZIP CODE
HOME PHONE
EMPLOYER
CELL PHONE
JOB TITLE
EMAIL
SECTION 2: GENERAL MEMBERSHIPS
Membership Type:
Initiation Fee:
Individual
$2,500 plus tax
Family
$3,500 plus tax
(one-time only)
Annual Fee:
Please
Check:
$1,500 Annually or $125 monthly auto-draft payment.
Plus $0.30 per target (sales tax apply)
$2,400 Annually or $200 monthly auto-draft payment.
Plus $0.30 per target. (sales tax apply)
Please write immediate family members only:
Out of Town Guests
100 Mile Radius
Corporate Membership
No initiation Fee
$40 per day. Plus $0.40 per target. Plus tax
Please see page 2: _________________________________________
SECTION 3: MEMBER INFORMATION
Would you like to receive emails on upcoming events? YES NO
Have you ever been convicted of a crime, excluding misdemeanors and summary offenses, which have not been
annulled, expunged or sealed by court? Please Cirlce One. YES
NO
If YES, please explain.
APPLICANT'S PLEDGE:
I certify that the above statements are true and I pledge to abide by all Club Bylaws, Regulations, and Policies and
Procedures. I understand that the membership year expires one year from the date my membership begins. My
membership is NON-Transferable.
DATE:
SIGNATURE:
Please mail check to Texas Premier Sporting Arms 1616 Leesway Rd. Richmond, TX 77406
Please send a copy of your membership application form to [email protected].
Questions: Please call Rebecca Christopher at 713-826-1981