Please print and send with check to:
Hibbing Rifle and Pistol Club
PO Box 186
Hibbing, MN. 55746

Name:last_______________________first_______________________mi____

Address:________________________________________________________

City:____________________________State:_________ Zip:_____________

Phone:______________________

Date of Birth:_______________________

E-Mail Address:____________________________________

NRA Member ?(_) Yes -- (_) Not (Not Mandatory)
Annual Membership (January 1 to December 31)
(_) Below age 65 $30.00 -- (_) 65 and older $20.00
(_) New Member -- (_) Renewal
Note: A Gun Range Safety Officer will contact you and arrange
to give you a tour of the club facility and explain our safety
and operating procedures for all ranges.