Apply for Membership

The process:

Fill out the form below. Your application will be submitted to the club for review.
If you meet the qualifications for an interview, we will be in touch regarding the next steps.

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:

Special Instructions:

Applicant Signature (type your name):

Signature Date:

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