Social Shooting Club Membership Form

Use this form to 1)update your membership information, 2)add your name to the Social Shooting Club email list, or 3)add your name to the SSC Membership Wait List. Please enter your Email Addresses very carefully and double check them for precision and accuracy. Hit the submit button at the bottom of the form when you are finished.
Membership Info Update or Email List Addition or SSC Membership Wait List Application	Select one or more items Membership Info Update Email List Addition Membership Wait List Application
Last Name	Required Field
Formal First Name
Middle Initial
First Name (for your name badge)	Required Field
Spouse
Mailing Address Line 1
Mailing Address Line 2
City
State
Zip Code
Home Telephone
Business Telephone
Mobile Telephone
Fax
Primary Email Address	Required - Be Precise
Secondary Email Address	Be Precise
SSC Chapter you are interested in
Date of Birth (for concurrent classes)
NSCA Number
NRA Member (Yes, No)
Comments