Apply for Membership

The process:

Fill out the form below. Your application will be submitted to the club.
We’ll be in touch with next steps. It may take some time to get back to you.

* indicates a required field

Applicant Name:

Date of Birth:

Street Address:

City, State, Zip:

Employer:

Citizenship:

Phone:

Email:

NRA Member:

Yes No

NRA Number:

NRA Type:

Oregon CHL:

Yes No

CHL Number:

Sponsor - Member’s Name:

Sponsor - Club Number:

Member Responsibility Statement

I understand that I can, and will be held responsible for any damage that I, or my guest, do to the range or building, and that any rule violation can result in suspension or expulsion from the club, including forfeiture of my duties and fees.

Applicant Signature (type your name):

Signature Date:

Other Gun Clubs and Firearms Organizations (Past 5 Years)

Club Name: Dates: City & State: Contact Info: Reason for Leaving:

Apply for Membership

Member Responsibility Statement

Other Gun Clubs and Firearms Organizations (Past 5 Years)

PRPC