The Manistee Clan Muzzle Loading Club 3125 Camp Road (location only - not mailing address) Manistee, Michigan 49660 Membership Application & Renewal Please fill out and return to: Manistee Clan Muzzle Loading Club Henry Rozmarek, Membership Chairman P.O. Box 76 Manistee, MI 49660-0076 Name____________________________________________________________________ Address__________________________________________________________________ City__________________________________State________________Zip+4___________ Phone # (______)________-_______________Member No. Assigned_________________ Do you want your newsletter by email? Email____________________________________ National Rifle Assoc. number: ______________________Expires: _____/_____/________ I affirm that I am not a felon and have no felonies against me. Signature: _____________________________________________ Manistee Clan Muzzle Loading Club annual dues (Jan.-Dec.)..............$40.00 I hereby attest to the character of the above named candidate and recommend him or her for membership in the Manistee Clan Muzzle Loading Club. Signed_____________________________________________Member No.____________ Obligation In the presence of Almighty God, I do of my own free will and accord solemnly promise and declare that I will comply with the bylaws and ritual of this club and will always be loyal thereto - that I will never wrong or defraud this organization nor a member thereof nor permit any wrong to be done to either if in my power to prevent it. I will never propose for membership any person not eligible nor one who I know to be unworthy. I will never make known to anyone not authorized to receive it the work of this club. Should my affiliation with the Manistee Clan Muzzle Loading Club cease in any way, I will consider this pledge as binding outside of this club as though I had remained a member of the same. I have read and agree to abide by the club range safety rules. All this I promise and pledge upon my honor and as a citizen of this great republic. Applicant's Signature_________________________________________Date:_____________ |