Membership Level change You have selected the Platinum Couple Full Pay membership level. Couple PLATINUM membership -FULL PAYMENT Option. Lifetime pass for Single Individual; Membership includes: * No Range Fees for members * FasTrac Lane Assignment * Guest Passes * Unlimited Firearm Rentals * Unlimited Suppressed Rentals * Unlimited Firearm purchases at member price * One Free Multi-Stage Target /visit * Discount FFL Transfer Fees ** Membership dating will begin 5 days after purchase, or after first membership visit, whichever occurs soonest. Please note there is a processing/convenience fee for online membership purchase.** SALES TAX NOTE: The annual fee a customer pays to be a member of a golf course or indoor shooting range is subject to Iowa tax. The Iowa Department of Revenue’s Administrative Rule 701-26.24 identifies that all fees, dues or charges paid to golf and country clubs, shooting ranges, etc are subject to tax. This also includes recreation, in which the rule states “recreation” shall include all activities pursued for pleasure, including sports, games and activities which promote physical fitness. IDOR 2016 This plan will charge one total payment to complete the purchase of the plan. We understand that this is a large commitment, and we want to thank you in advance for your interest in our business. The price for membership is $4,640.00 now. Customers in IA will be charged 7% tax. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Already have an account? Log in here Username Password Confirm Password First Name Last Name Email Address Confirm Email Address Full Name LEAVE THIS BLANK Billing Address First Name Last Name Address 1 Address 2 City State Postal Code Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands US Armed Forces Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Phone Payment Information We Accept Visa, Mastercard, American Express, and Discover Card Number Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 / 2023 2024 2025 2026 2027 2028 2029 2030 2031 2032 Security Code (CVC) Discount Code Membership Acknowledgement Click on topic to expand Sales Tax Note Iowa state sales tax not included in price, will be collected per Dept of Revenue requirement The annual fee a customer pays to be a member of a golf course or indoor shooting range is subject to Iowa tax. The Iowa Department of Revenue’s Administrative Rule 701-26.24 identifies that all fees, dues or charges paid to golf and country clubs, shooting ranges, etc are subject to tax. This also includes recreation, in which the rule states “recreation” shall include all activities pursued for pleasure, including sports, games and activities which promote physical fitness. IDOR 2016 Legally Able Membership in CrossRoads Shooting Sports (CRSS) will only be available to persons who are legally able to possess a firearm. CRSS members must be in compliance with all federal, state, and local laws concerning ownership and the handling of firearms. I certify as follows: (1) that I am not and never have been the subject of a criminal or any other proceeding that prevents me from legally owning, handling, or possessing firearms under Iowa or Federal law; (2) that I can lawfully own, handle, and possess a firearm, and; (3) that all information given in this Application is true and correct to the best of my knowledge. By submitting the online application and agreement, I acknowledge that I have received; read, understood, and I now agree to comply with, these Terms and Conditions, the CRSS Release, Waiver of Liability, Assumption of Risk and Indemnity Agreement and the CRSS Rules which are all incorporated into this Application and Agreement by reference. CRSS Membership Terms and Conditions CRSS is a private business which is wholly owned by CrossRoads Shooting Sports LLC. Acceptance for membership does not confer on the holder any membership, rights, or ownership interest in Crossroads Shooting Sports LLC. CRSS facilities are available for use by all CRSS members, guests of members, private citizen groups, and by the general public. CRSS memberships are available to provide preferred access, potential discounts to merchandise, services and facility use, and other benefits to CRSS members. CRSS membership is subject to the Membership Terms and conditions stated herein. Membership may be granted and revoked at the sole discretion of CRSS. As part of the consideration for membership, the Member hereby agrees to remain a Member and pay the Membership Dues for a period of not less than one (1) year from the date of this agreement. A cancellation fee of $100 or the balance of the contract, whichever is less, will be assessed to the member if cancellation is made prior to completion of this twelve (12) month agreement. CRSS is entitled to recover its costs, including reasonable attorney’s fees, incurred in collecting sums due to CRSS under this or any other Membership provision or otherwise. All Memberships may be subject to the one time setup fee of up to fifty dollars ($50) and timely monthly payment of membership dues. This setup fee payment and Membership dues for each level of membership vary based on the level of Membership purchased, special CRSS promotions and Membership availability. Membership dues and benefits may be reviewed and adjusted by CRSS at any time without notice. Members may select one of the following methods to make their monthly payment of membership dues: Automatic monthly credit/debit payment from a VISA, MasterCard, American Express or Discover Card. A $20 fee will be assessed for any automatic debit that is rejected for insufficient funds or any failed credit charge. All Members, guests, and other CRSS facility users must follow ALL CRSS Safety Standards and Range Rules, and must read, and agree to the terms of the CRSS Release, Waiver of Liability, Assumption of Risk and Indemnity Agreement which is incorporated by reference into the CRSS Terms and Conditions of Membership. All first-time members, guests and other CRSS facility users must participate in the CRSS range orientation and submit the waiver fee. All explained fully more in the CRSS Release, Waiver of Liability, Assumption of Risk and Indemnity Agreement, guests must be accompanied by a member to be admitted to the firing line. Members are responsible for all actions taken by their guests and hold CRSS harmless for property damage, accidents and injuries to or caused by guests. All Members and guest are subject to the general policies and rules of operation and administration of CRSS, all of which are intended to provide a safe, professional, friendly and family oriented facility. Authorization for Payment by Credit or Debit Card I understand that CRSS will charge the account selected the amount required per the specified plan level for which I am purchasing. If my card does not successfully charge on your payment day, CRSS will attempt to charge the card again within 10 days. I hereby authorize CRSS to maintain my signature on file and to charge my account on a monthly basis. This authorization will remain in full force and effect as long as I hold membership in CRSS or until I provide CRSS with written notice of termination, or cancel via the online membership portal. I agree to provide CRSS with accurate and complete billing information including legal name, address telephone number and credit card information. I further agree to notify CRSS of any credit card changes 30 days prior to the next schedule payment date. All written instructions must be delivered to CRSS by mail, e-mail, or facsimile and must be signed by me. I understand that non-payment may invoke suspension of membership benefits and subject to collection efforts state above. I agree to the Membership Acknowledgement Processing...