Application

Application for membership

Richmond Hunting Club

PO Box 6718, Vacaville, Ca 95696-6718

Name: Occupation Age

(Last name, first name)

Address Phone ( )

City Zip Code

Driver’s license, State, #

Dues and Fee Schedule

New Membership Initiation (lifetime) $ 250.00 $

Proposed by:

How did you hear about the club?

Returning member 475.00

Guest Pass 400.00

Junior(s) 5.00

Name Birthday

Young Adult Guest Pass 100.00

Name Proof of age included __________

Subtotal $ _________

Water blinds (each seat in blind requires membership)

Two man blinds, includes guest card $ 1,600.00

½ blind, includes guest card 800.00

1/3 blind, no guest card 533.00

¼ blind, no guest card 400.00

Four man blinds, includes guest card 3,200.00

½ four man blind, includes guest card 1,600.00

1/3 four man blind, includes guest card 1,066.00

¼ four man blind, includes guest card 800.00

Blind location & number_________________ TOTAL $

Water blind fees & dues must be paid by Mar. 1st

Text Box:
_____ VISA ______ MASTERCARD

___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___ - ___ ___ ___ ___

EXPIRATION DATE: ___ ___ ___ ___

SIGNATURE (required): DATE:

I agree to carry liability insurance and support the constitution, by-laws and rules of the organization.

Richmond Hunting Club

P.O. Box 6718

Vacaville, CA 95696-6718