MEMBERSHIP APPLICATION / RENEWAL FORM *
Important: Please complete one form for each applicant. Print form and mail with cheque (no cash please) to the following address:
SQUAMISH VALLEY ROD AND GUN CLUB Memberships P.O. Box 5220, Squamish, B.C. V8B 0C2
Date:
Member#:
(Club use)
Name:
Address:
City:
P.Code:
Phone:
e-mail:
Please supply the following information (Note: Licences are NOT required for membership):
Licence number and type currently held (if any):
FAC (mostly obsolete)
POL (Possession)
PAL (Acquisition)
Other
Date of birth:
(yyyy/mm/dd)
Police, C.O.'s, D.F.O.,C.A.F., etc. Regimental No:
Membership Type and annual fees - Choose one:
Regular $60
Spouse $15
Junior $25
Senior $15
Non-voting $60 Adult/$25 Junior
Please indicate any areas of interest:
Smallbore
Reloading
Archery
Rifle
Silhouette
Fishing
Pistol
Action pistol
Hunting
Trap
Cowboy action
Conservation
Black Powder
Collecting
Other:
All Applicants and Renewals must sign on the line below verifying that they will maintain FULL COMPLIANCE with all applicable government firearms regulations.
Signature of Applicant or Parent/Guardian of Applicant _________________________________
* Please note that membership runs from April 1st to March 31st. Please mail a cheque - no cash please - to the above address.
These records are required by Federal law and will be retained for a minimum of 6 years. Failure to supply the required information will constitute trespass and may result in being charged.
Revised April 2008