Sage Membership Application
Complete all details below and click on the "Print" button at the bottom of the form.
  Check the box for Primary Member - $25.00
First:  Middle Initial: Last Name:
Address:
City:  State: Zip Code:
Phone Day: Phone Evenings:
E-mail: USPSA No (if applicable):
Select
all that apply:
  Check the box for Family Member - $10.00
First:  Middle Initial: Last Name:
USPSA No: (if applicable)
Select
all that apply:
  Check the box for Family Member - $10.00
First:  Middle Initial: Last Name:
USPSA No:   (if applicable)
Select
all that apply:
  Check the box for Family Member - $10.00
First:  Middle Initial: Last Name:
USPSA No:   (if applicable)
Select
all that apply:
  Check the box for Family Member - $10.00
First:  Middle Initial: Last Name:
USPSA No: (if applicable)
Select
all that apply:
TOTAL SUBMITTED
 		 Mail completed application to:  Sage Pistol League, P.O. Box
                       1881, Ridgecrest, CA 93555 or give to any club officer.