Renew your Membership

Personal Information

Membership Number

Your Membership Number can be found on the bottom left of your badge:

Membership Number

240000

Given Names

Family Name

Address

Address Line 2

City

Postal Code

Email address

Home Phone Number

Cell Phone Number

Membership Type

Personal

$275

Only the registered member may use the club facilities.

Family

$325

A member's spouse / partner may also use the club facilities.
A member's minor children (18 and under) may also use the club facilites.
Spouse / partner and children must be in the same household as the member and supervised by the member at all times while on club property.

Declaration

I declare that all the statements and information provided on this application, as well as all documents submitted now and in the future to support this application are unaltered and true. I declare that I have read and understand the Rules and Regulations of the Elmira & District Rod and Gun Club and agree to abide by them.

I understand that a Family Membership is required to bring a partner and / or minor children to use the Club's facilities. Any children 19 years or older must apply to become a member.

I have read and understand the Privacy Policy.

By submitting this application, you are agreeing to the above statements.

Important Information

Do not submit payment until you receive an email with instructions on how to do so. Failure to follow this important step may result in your membership not being renewed.