MEMBERSHIP APPLICATION

 

Membership for year:            2023 o           2024 o           2025  o           2026 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. 

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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

vermiliongunclub@gmail.com

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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1. Signature _____________________________                            Date _______________                                                 Applicant

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        2. Signature______________________________                            Date________________

Sponsoring Resident Member

PO Box 3174, Vermilion, Ab, T9X-2B1