Please print and send with check to:
Hibbing Rifle and Pistol Club
1741 Merryview Lane
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 $20.00 -- (_) 65 and older $10.00

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.