Memberships
CCCCC Foundation Donation
Event Registration
Golf Scramble
Annual HOUSEHOLD Membership
$170.00
New Member or Pre-Existing Member?
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Optional Gun Range Membership?
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Boat Ramp Access Key?
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Member 1: First and Last Name
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Member1 Date of Birth (MM/DD/YYYY):
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Member 1 Phone Number:
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Member 1: Email Address
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Member 1: Employer & Job Title:
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Member 1: Skills that might help the club as a Volunteer:
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Member 2:First and Last Name
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Member2 Date of Birth (MM/DD/YYYY):
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Member 2 Phone Number:
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Member 2: Email Address
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Member 2: Employer & Job Title
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Member 2: Skills that might help the club as a Volunteer:
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Household Street Address:
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City, State, Zip
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Referred By:
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Emergency Contact
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Emergency Contact Phone Number:
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MEMBERSHIP AGREEMENT: If accepted, I agree to abide by the Club By-laws & all other club rules. I will submit my application fee with this application on the following checkout page OR will make arrangements to pay via cash/check in person or by snail mail. I further understand this is an annual membership with renewal due by February 15th of each year to remain a member in good standing. By checking the box below, I am indicating that I agree to these membership requirements, and that this will act as a digital signature.
KEY CARDS: Information on this form is used by the CCCC Club staff only to activate your key card for club access. The card will not be mailed & must be picked up in person at the club on a future visit. Cards may take a week to be programmed. By clicking the box below, I agree to pick-up my card and the checkbox will act as my digital signature.
In stock
Product Details
UPC:
299
Brand:
No
Description
The household membership includes two club memberships/key cards.
Plus
- eligibility to purchase key for access to shooting range (+$100)
- Subject to board approval of membership application. Key is issued at completion of gun range safety meeting (by appointment only). Request appt. by email to ccccclubinfo@gmail.com.
- eligibility to purchase key for boat ramp access (+$20)
- Access for dependents under age 21
Annual HOUSEHOLD Membership
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