Membership Application
Northwest Ohio Combat Pistol Club
P.O.Box 416 Lemoyne, Ohio 43441
Kimbershtr45@yahoo.com

Name:  
Address: 
City:  State: Zip: 
Telephone (s) 
E-Mail: 
Birthday


Organizations
Are you a member of USPSA  No  Yes  USPSA # 
Are you a member of IDPA  No  Yes  IDPA#
Are you a member of NRA  No  Yes  NRA#

I hereby make application to join the Northwest Ohio Combat Pistol Club.  I certify that I will use my skills and knowledge gained from practical shooting only in a lawful manner. In applying for the membership in this club, I agree to abide by the rules and regulations of the NOCPC and by the rules and regulations of the host club pertaining to the range and club facilities during competition and while on the host club grounds.


Under the legal requirements of Federal, State and Local laws are you able to purchase and possess firearms
Membership Fee is $ 40.00 per year. Make Checks payable to NOCPC


Signature:_____________________________ Date: