Become a Member of the Towanda Rifle & Pistol Club

Thank you for your interest in joining the Towanda Rifle & Pistol Club.  Becoming a member 
is a simple yet serious commitment.  By applying for membership you are certifying that 
you are a citizen of good repute of the United States of America, that you are not a member 
of any organization or group having as it's purpose or one of it's purposes the overthrow by 
force and violence of the Government of the United States or any of it's political subdivisions; 
that you have never been convicted of a crime of violence; and that if admitted to membership 
you will fulfill the obligations of good sportsmanship and good citizenship.

The membership year runs from January 1st through December 31st.

Annual Dues:  Single Membership is $30.00      **Family Membership is $40.00

Also know that we do not share personal information with any person or group.  
However, when requesting grants, or filing reports with the Civilian Marksmanship Program (CMP) 
we report the number of male, female and children who are members of the 
Towanda Rifle & Pistol Club.  These figures help to show the interest and involvement 
of all members and ages that enjoy shooting sports and events.

If you desire to become a member, and agree with these statements, 
simply complete the form below and click on the 'Submit' button. 
A Club Officer will contact you within 7 days.


I certify that I am a citizen of good repute of the United States of America: that I am not a member of any organization or group having as its purpose or one of its purposes the overthrow by force and violence of the Government of the United States or any of its political subdivisions; that I have never been convicted of a crime of violence; and that if admitted to membership I will fulfill the obligations of good sportsmanship and good citizenship.

New Members

Full Name:
Address:
City/State/Zip:

Cell Phone:
Alternate Phone
Email:

Birth Date : Month/Day/Year
Hunter Safety Certificate?

Signature of Applicant: *
This must be filled in or your membership will not be processed. By Typing your name you acknowledge you have read and filled out above information correctly.

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Sponsors Contact Information

Existing Members

First Name
Middle
Last Name

Date of Birth
Home Phone

Address
Zip Code

Email Address

Signature Of Applicant *
I certify i am a citizen of good repute of the United States of America: And i am not a member of any organization or group having as its purpose or one of its purpose the overthrow by force of the Government of the United States or any its political subdivisions: that I have never been convicted of a crime of violence: and that if admitted to membership I will fulfill the obligations of good sportsmanship and good citizenship.