Members, New and Returning Members:

The 2012 shooting season will soon be upon us.

But to keep you fresh for the new season Monroe/Chester Sportsmen Club

will be conducting a winter service gun league starting

January 23, 2012 7:00 pm to April 9, 2012 at the club's indoor range.

For those who are NYPCA members you will be able to have

three of your highest scores count for association annual awards

for a fee of $2.00 for each score.

I've attached a renewal application and match dates for the upcoming season.

As of now we have 23 renewals, so if you haven't renewed do it now before you forget.

Remember to keep our association going bring a new shooter to our up coming matches.

Thanks

Harry

NEW YORK POLICE COMBAT ASSOCIATION

2012 Membership Application

NAME: ___________________________________________________ DOB: ____________________ ADDRESS: __________________________________________ CITY: __________________________ STATE: ____-- ZIP: _______ HOME PHONE: ________________CELL #__________________ E-MAIL: _____________________________________ DATE FIRST JOINED NYPCA_____________ DEPARTMENT: _________________________WORK PHONE: ( ) _______________________ NRA CLASSIFICATION REVOLVER: HM – MA – EX – SS – MRK – CLASS – UNC SEMI-AUTO: HM – MA – EX – SS – MRK – CLASS – UNC NRA NUMBER: _________________________ PISTOL PERMIT NUMBER: ____________________

RENEWAL FEES ___ RENEWAL $30.00, ___ NEW MEMBERS $40.00, ___ LIFE MEMBER ( 25 YEARS +) ____ TWO PERSON TEAM $10.00 EACH MEMBER TEAM NAME: _____________________________ TEAM CLASS: ______________ TEAM PARTNER: __________________________SHIRT SIZE:______________ Please make checks payable to NYPCA and mail to: Mark Dorfman 45 Treetop Circle Nanuet, New York 10954 845 352-7921

REV 1/12

OFFICIAL USE ONLY

DATE: NEW:

NEW: