Renewal/Address Change Form
Please indicate the type of application below: If you are a member who is returning after a more than 1 member year hiatus please choose other and indicate the last year you were a member
Member Number *
Your answer
First Name: *
Your answer
Family Name: *
Your answer
Address Line 1: *
Your answer
Address Line 2:
Your answer
City: *
Your answer
Province: (eg: ON, QC, etc.) *
Your answer
Postal Code: (no space) *
Your answer
Telephone Number: (10 digit no dashes or spaces) *
Your answer
Email: *
Your answer
PAL Number: If you do not have a PAL please indicate "CFSC only" *
Your answer
PAL Expiration Date: If you do not have a PAL please indicate the date you completed your CFSC *
MM
/
DD
/
YYYY
Please indicate how you intend to pay your membership fees this year? *
Important Note: If you are paying by Cheque or Etransfer you MUST ensure you put your member number in the Comments or Memo section, or your payment may be applied to another member.
The fees for the 2018/19 member year are as follows:
Full Member $185
Family Member $95 (Must reside with a full member)
Note: Under the new bylaws the family membership fee does not change the class of membership (Resident, Non-Resident, or Associate) for the family member and Resident family members will have a right to vote.
Note to Quebec Members: If you would wish to pre-pay your membership fees to extend your SQ letter, Please contact info@vkhgc.ca for further information on how to proceed with your payment.
WAIVER and RELEASE:
In consideration of the acceptance of my membership in The Vankleek Hill Gun Club (The Club), I, for myself, my heirs, executors, administrators and assigns, waive my claims to which I may become entitled for injury or damage however caused, and release the Club and all other organizers, sponsors, representatives, their agents and employees and any other person from any claims for damages or injury suffered by me as a result of my participation in the activities of the Club. I fully recognize and understand that the use of firearms as an activity, including sport target shooting, is inherently dangerous, and as such accept full and complete responsibility for any and all loss, injury or damage I may personally sustain through my use of firearms on club property. *
Required
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service