Alaska 49ers

Cowboy Action Shooting Club
Membership Application
Print out this form and mail to
Alaska 49ers CASC PO Box 202247 Anchorage, AK 99520-2247 *All Alaska 49er Members Must also be a Member of SASS
Type of membership:    Individual -$30.00 yr___ Family -$45.00 yr___
 
Member #1
Name___________________________Alias______________________SASS #_________ Expires_____
Member #2
Name___________________________Alias______________________SASS #_________ Expires_____
Member #3
Name___________________________Alias______________________SASS #_________ Expires_____

NRA Member? -----NO___ Yes___

Mailing Address___________________________ City_______________ State____ Zip_______

Phone (Hm)_________________(Wk)________________E-mail_________________________

Signature__________________________ Date_________Amount enclosed $_______

Preferred contact (circle one) Phone or E-mail

All members are expected to take an active role in the club. There are many areas the club could use assistance and any special skills that could be volunteered are welcome. Please list an area in which you would be interested in helping out______________________ie: Prop Maint., Targets, Gun Shows, Prizes, Recruitment, Leather work, Carpentry.

If this is a family membership with more than three applicants, please list the Name, Alias & SASS # of each additional below

 Received by______________
Date____________________
Date Posted______________