As in past years, starting now until the end of the year, you can either use this years key or the key for next year to open the gate. After January 1, only next year’s key will open the gate.

NAME ______________________________________________________________

ADDRESS ____________________________________________CITY/ZIP__________________________

PHONE NUMBER______________________________________________________

EMAIL ADDRESS ______________________________________________________

Please indicate which area(s) you would be will to help out (please circle)

Breakfast – Pistol/Rifle Events – Grounds Maintenance – Wild Game Event – Archery Course – Building Maintenance – Trap/Skeet Events – Other___________________________

Dues are as follows:

Regular Dues – 18 years old to 64 years old…………………………………………….$70.00 $______________

Senior Dues – 65 years old and older………………………………………………………..$35.00 $______________

Junior Dues – Under 18 years old (no key issued to juniors)……………….$15.00  $______________

Toys for Tots Donation (Club will match 1st $200 of total donations) $______________

Wild Game Event Donation # of Seats _______ $______________

TOTAL $______________

Please fill out this form and return it with your key and dues. Thank you!

***ALL DUES MUST BE PAID BY THE JANUARY MEMBERSHIP MEETING OR YOU WILL HAVE TO REAPPLY FOR MEMBERSHIP AND PAY THE $20 INITIATION FEE ALONG WITH YOUR REGULAR DUES or PAY THE $1 JUNIOR INITIATION FEE ALONG WITH YOUR JUNIOR DUES !

Keys are included in the membership fee as long as old key is returned

Lost keys are a $5 fee

You will no longer be able to receive your new key in the mail – please DO NOT MAIL IN your old key! Bring the old key and dues to the club. Dues can be paid and keys can be obtained on any Tuesday trap night (5 pm to 6:30 pm), at our November, December or January monthly meetings, on the second Wednesday of month (before the board meeting starts at 7 pm or after the 7:30 pm membership meeting ends), or at the Friday breakfast (9:00 am to 11:00 am) in January that take place prior to the January meeting.

Office use only:    Date paid_________________          Card______        Key______  

Form Revised 11-1-2026

   Please visit our website: www.pineriversportsmans.com for updated information on club activities, calendar, pictures and upcoming events