Branford Gun Club
Established 1936
 PO Box 492

Branford Ct 06405

203-488-2436

Name_________________________________      Application Date__________________

Address__________________________________________________________________

Town____________________State____________Zip Code___________________________

Date of Birth_______________ Phone Number____________________________

Place of employment_____________________________________________________________

Profession______________________________________________________________________

Email Address __________________________________________________________________

NRA Membership Number ________________________________Expiration Date__________

To what other sportsman club do you belong_________________________________________

Initiation fee     $550(includes 10% Ct. dues tax)

Current dues $99 & $50 special assessment

Total             $699

Payment Plan Available    Minimum of $250 must accompany application

I have been using firearms for ____________Years

My current interest are Hunting________Trap________Range____________

I would like to serve on Trap____Range_____Hunting______ House______Committee

Applicaants Signature_____________________________Date____________________-

Proposed  by____________________________________Date_____________________

All applicants are on 1 yr probation during which they have NO VOTE or VOICE in the operation of the Branford Gun Club

Fees  Received by __________________ Amount  Received             Date_______________