VERMONT FEDERATION OF SPORTSMEN'S CLUBS INC.
ORGANIZATION MEMBERSHIP APPLICATION
NAME of ORGANIZATION:
________________________________________________________________
As of December 31, how many members were in your club? _____________
DUES CALCULATION:
1 - 15 MEMBERS $25.00
16 - 100 MEMBERS $50.00
101 - 800 MEMBERS: # of Members ______ x .5 = __________
800 or More ($400.00 max) # of Members ______ x .5 = __________
Organization permanent mailing address:
Street: _______________________________________________________
_______________________________________________________
City: _____________________ State: _________ Zip ______ - _______
Phone:_____________________ Web Site: __________________________
OFFICERS
President: ____________________________________
Street: _______________________________________________________
_______________________________________________________
City: _____________________ State: _________ Zip ______ - _______
Phone: ______________________ eMail ____________________________
Secretary: ____________________________________
Street: _______________________________________________________
_______________________________________________________
City: _____________________ State: _________ Zip ______ - _______
Phone: ______________________ eMail ____________________________
Treasurer: ____________________________________
Street: _______________________________________________________
_______________________________________________________
City: _____________________ State: _________ Zip ______ - _______
Phone: ______________________ eMail ____________________________
DELEGATES
First Delegate (For clubs with 1 - 100 Members)
Name: ____________________________________
Street: _______________________________________________________
_______________________________________________________
City: _____________________ State: _________ Zip ______ - _______
Phone: ______________________ eMail ____________________________
Second Delegate (For clubs with 101 - 200 Members)
Name: ____________________________________
Street: _______________________________________________________
_______________________________________________________
City: _____________________ State: _________ Zip ______ - _______
Phone: ______________________ eMail ____________________________
Third Delegate (For clubs with 201 - 300 Members)
Name: ____________________________________
Street: _______________________________________________________
_______________________________________________________
City: _____________________ State: _________ Zip ______ - _______
Phone: ______________________ eMail ____________________________
Fourth Delegate (For clubs with more than 400 Members)
Name: ____________________________________
Street: _______________________________________________________
_______________________________________________________
City: _____________________ State: _________ Zip ______ - _______
Phone: ______________________ eMail ____________________________
ORGANIZATION INFORMATION
Annual Meeting Date: ____/____/____ Regular Meeting: __________________
STATED PURPOSE:
________________________________________________________________
________________________________________________________________
________________________________________________________________
________________________________________________________________
REGULAR ACTIVITIES:
________________________________________________________________
________________________________________________________________
________________________________________________________________
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FACILITIES:
Rifle Range: _________ Yrds Pistol Range Indoor:_____ Outdoor:______
Skeet Fields: _______ Combat Pistol? _____ IDPA? ____ ISPC?____
Trap Fields: ________ Cowboy Shooting Layout? _______
Clays: ________ Archery?____ 3D ________
Club House Seating Capacity:______ Eating Capacity:_______ Kitchen:______
TRAVEL DIRECTIONS:
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Please return this form along with a check payable to
Vermont Federation of Sportsmen's Clubs Inc.
PO Box 1231
Saint Albans, Vt. 05478