PHEASANT VALLEY SPORTSMENS CLUB

880 SOUTH DORCHESTER ROAD

BUNKER HILL, IL  62014-3011

618.585.3956

MEMBERSHIP APPLICATION

 

RIFLE/PISTOL                                                                              FULL MEMBERSHIP PACKAGE

NO JACKETED OR SEMI JACKETED BULLETS                         MEMBERSHIP $400.00   INCLUDES

      SHOT AT ANY PLATES        

 

   All large rifles - paper only WITH SUPERVISION

                 

Membership-$125.00                                             * Discounts on 5 Stand and Rifle/Pistol

Initiation Fee-$25.00                                            * Dealer prices plus 10% & tax and shipping on sporting goods

Associate Member-$25.00                                    * Special prices on Upland Game (Pheasant, Quail, Chukar)

(Spouse or dependent 18 or younger)                                      * Special prices Dove, Deer, Turkey hunting available to members

§        $5.00 per member                                                                                                only. Must have current hunting license, State County permits

§         Members guests $8.00 per hour                                                          *  Blaze orange hats required by State

§        Non-Members $20.00 1^st hour                                                                                  

         $8.00 per hour thereafter                        

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¨      TO BEST SERVE YOU RESERVATIONS ARE REQUIRED                 *    Cleanliness of Club Grounds is Responsibility of Each Member

¨       Monday and Tuesday by Request-Special Prices may apply               *    This includes show GUESTS where Litter and Brass is disposed

¨       Wednesday through Sunday 9AM-Dusk                                             *    NO ALCOHOL OR DRUGS prior to or during Shooting

¨       All MEMBERS and GUESTS must check in and out at office               *    All Shooters & Spectators are required to wear EYE &  EAR  protection

¨       MANAGEMENT RESERVES THE RIGHT TO DENY OR TERMINATE Membership to  indviduals NOT abiding by Club Rules and Regulations with any refund on membership                                             

 

 Membership Valid for one calendar year from

TODAYS DATE___________EXPIRES________________

________________________________________________________________________________________________________________________

NAME________________________________________________________                       

STREET ADDRESS______________________________________________                    

STATE______________________ZIP CODE__________________________                    

HOME PHONE (     ) _____________________________________________                    

            ASSOCIATES NAME (S) __________________________________________                              

______________________________________________________________                       

 

                          FULL PACKAGE MEMBERSHIP                                             $400.00_____________

                          Associates Fees (Spouse/dependent ONLY)                        $75.00_____________

                          RIFLE/PISTOL MEMBERSHIP                                                 $125.00_____________

                          Initiation Fee (One time only unless Membership lapse)    $25.00_____________

                                                                                TOTAL       $_________________

                           TODAY'S DATE______________________

                           M/C  VISA#_______________________________Expires____________ 

                           Signature_____________________________________________________