Rio Salado Sportsman's Club - Secure Online Membership Application

Rio Salado Sportsman’s Club, Inc. - 3960 N. Usery Pass Road Mesa, AZ 85207
Phone (480) 984-9610 - Email: office@RSSCaz.com - Web: www.rsscaz.com

All fields with an asterisk (*) are required.

Current Member Number New or Renewal *
 
New   Renewal
 
* Primary Adult Name: 
Second Adult Name 
Family Memberships only and
must live at the same address
Participating Children
Including Birthdates
Valid for kids 8-17 years old
Family Memberships Only
* Address: 
* City: 
* State: 
* Zip Code: 
Alternate Summer Address: 
From:  To: 
 
Summer Address :
Summer City: 
State: 
Zip Code: 
 
* Home Phone: 
Work Phone: 
Cell Phone: 
* Email Address: 
Your email will not be given out but is how we keep you informed.
Are you a past club Officer, Match Director, Range Employee, etc?: 
If so, describe and include year(s)
Occupation or Skills: 
Please call the range office
if you would like to volunteer
 
Comments: 
 
Membership Type: 
     Individual membership ($100.00)    Family membership ($110.00)
Administrative Fee: 
    $25.00 - All New Members or Renewal Members if past due 10 days.
Range Improvement
Fund Donation: 
$