MEMBERSHIP FORM
(Print and mail this form with appropriate fees to)
CLICK HERE for an MSWord file of this form
WESTERN MONTANA FISH AND GAME ASSOCIATION
P.O. Box 4294, Missoula, Montana 59806
Please Print
NAME
New( ) Renewal( )
MAIL ADDRESS
CHANGE of address( )
CITY
STATE ZIP
HOME PHONE - WORK PHONE -
EMAIL ADDRESS
NRA MEMBER YES( ) NO( ) NRA ID#
CHECK TYPE OF MEMBERSHIP DESIRED Circle committee(s) you would like to serve on
Annual Range - $50(
) Sportsman (no Range use) - $20( )
Big Game
Spouse Name - $10
Dependant Name - $10
Bird
Dependant Name - $10
Dependant - $10
Fish
Life Range - $500( )
Public Policy
Electronic key card (for gate access -
one-time deposit) - $5( )
Range
Check here if it is OK to call you
about committee activities( )
Membership
I agree to abide by the WMFGA Range Rules when using the Deer Creek Shooting Center.
APPLICANT SIGNATURE
Date
Revised 9/23/07