MEMBERSHIP APPLICATION
Membership for year: 2022 o 2023 o 2024 o 2025 o
Resident (within 75 km of Vermilion) _____ Renewal ______
Non-Resident ____ New _________
Surname____________________________________ First Name _______________________
Address __________________________________________________________________________
Town/City _______________________________________________________________________
Postal Code _______________ Phone ___________________
Year of Birth _________________ Email address __________________________________
Regular Membership _________ Family _________ Youth__________
Regular Membership ($ 75.00), Family Membership ($ 100.00), Youth Membership ($10.00)
Membership are valid from January 1 to December 31. Memberships purchased before December 1 will only apply for the year of purchase. Memberships purchased after December 1 will apply to the next year but will allow access for the remainder of the current year.
Please fill out the name and birth dates of family members. Family membership includes one other immediate family adult person and others in the immediate family under 18 years of age and living at the same residence.
Family member name:_____________________________ Date of birth:____________________
Family member name:_____________________________ Date of birth:____________________
Family member name:_____________________________ Date of birth:____________________
Family member name:_____________________________ Date of birth:____________________
Include payment with your application. To pay with E-Transfer use the VGC email address at
The combination to the gate and range equipment/sign in shed is shown on your membership card. Information packages relating to the range and range rules can be found on the web page www.vermiliongunclub.ca
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Signature _____________________________ Date _______________ Applicant
2. Signature______________________________ Date________________
Sponsoring Resident Member
PO Box 3174, Vermilion, Ab, T9X-2B1
