Point Blank Range South Charlotte Membership Application

The Point Blank Range Membership Application package consists of the following pages:

  • Membership Application and Agreement (1 page) (“Application”)
  • Terms and Conditions of Membership (2 pages)
  • Payment Authorization (1 page)


The Membership Application package is in an Adobe fillable form, if you prefer to fill it in on your computer.  When you open the form in Adobe Acrobat Reader, it will highlight the fields to be completed.  Complete them using your computer keyboard.  If you are filling in a printed copy of the Application by hand, please print clearly.

Complete all fields in the Application that apply.  Check the box indicating which Membership Type you desire.  If you only desire an Individual Membership, you do not need to complete the “Family Members” section.  If you desire a Family Membership, the “Family Members” section should be completed for all family members 21 years of age and older that desire to have full membership privileges.

Complete the Payment Authorization, filling in the membership dues for the membership you selected.  It is anticipated that the Range will be open before December 1st.  The first dues payment will be charged December 1st.  If the Club is not open by December 1st, the first months dues will be charged January 1st.  Complete the credit card information for the recurring monthly charge.

You can change from Individual Membership to Family Membership, or vice versa, by sending an e-mail to memberships.matthews@pointblankrange.com and instructing us to make the change.  The change will be effective on the first day of the following month, provided we receive your notice in enough time to implement the change to the recurring monthly payment charge.

Please print the completed Point Blank Range South Charlotte Membership Application and Agreement and sign the Application and Payment Authorization and return the entire Application package by e-mail to memberships.matthews@pointblankrange.com or by mailing the package to:

Membership Services
Point Blank Range
743 River Highway
Mooresville, NC  28117

Please feel free to forward this Application package to any of your friends or business associates who might also be interested in joining.

Download:  Point Blank Range South Charlotte Membership Application and Agreement