Postal Code _______________________ Phone ____________________________
Year of Birth _________________ Email address __________________________________
Regular Membership _________ Family _________ Youth__________
Regular Membership ($60.00), Family Membership ($85.00), Youth Membership ($10.00)
Membership runs from January 1 to December 31. New memberships purchased in Nov/Dec will also include the following year. Any cards purchased before November will only apply for the year of purchase.
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:____________________
Please make check out to The Vermilion Gun Club and send to the address below.
The combination to the gate and range equipment/sign in shed is shown on your membership card. The trap house combination and combination to the large storage shed will be issued to regular trap shooters or cowboy action shooters. Information packages relating to the range and range rules can be found on the web page www.vermiliongunclub.ca
Signature _____________________________ Date _______________ Applicant
