Mohave Defensive Shooters Club
Membership Application Card: please complete the information below, enclose a check for the annual (prorated at $1.00 per month) dues of $12.00. Payable to: Mohave Shooters Club
Send to Scott Olsen, 4334 S Tamara Terrace, Fort Mohave, AZ. 86426. For any questions call me at 928-763-7192 or 928-221-8337 (cell phone).
Upon Membership approval you will be sent a Membership Card and will be entitiled to shoot in Club Match Shooting Competitions.
Name: _________________________________
Address:________________________________
City: ________________________ State: ____
Zip:_________ Phone: ____________________
e-mail: _________________________________
e-mail confirmation will be sent to you on arrival
Are you interested in helping the Club in one of these way? Helper Volunteer Y N or
become a Safety Officer Y N
Date:________
Thank you for becoming a regular Member and for your interest in helping our club
To complete simply print the page, fill it out, and send it to the address above.