The Bar-20, Inc.                                         Updated Membership Form Date________ Last Name________________               First_______________MI___ DOB________ (70 or older, Free Membership. (Need to be paid member for 1 year) Address  ________________        City______________ State___ Zip______ Day Phone____________ Evening Phone____________ NRA Member Y__ N__Life__  NRA#____________ SASS  Y__N__ Life__SASS #_____________ NYS Pistol Permit #_________________(must be on your person) S/A Revolver___________Cal.___ L/A Rifle___________ Cal.____ Shotgun_________ Type________ Ga._____ eMail Address__________________________ (We can eMail Shooting Scores and Newsletters for faster response.  Regular Pony Express for those without eMail). Spouse: (If not a shooting member) First Name____________ M/D of Birth_________ Yearly Dues: $25.00, due in January of the New Year. Made payable to: The Bar-20, Inc. Send dues and completed form to: Bruce "Buckskin Bruce"Rounds      21 Chapel Street Sherburne, NY 13460      607 674.5702