LAKE GEORGE GUN CLUB INC.

APPLICATION FOR MEMBERSHIP

PERSONAL INFORMATION

FAMILY NAME                      FIRST                      SECOND                         DATE OF BIRTH

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MAILING ADDRESS:  (Including P.O. Box. Apt., Etc.)

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CITY / TOWN                           PROVINCE                POSTAL CODE        HOME PHONE  NO.

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RESIDENCE ADDRESS (If different from mailing address)                         WORK PHONE NO.

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FIREARMS LICENSE NUMBER & EXPIRY DATE                         E-MAIL ADDRESS

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INTEREST IN FIREARMS

CENTERFIRE RIFLE_____________________     RIMFIRE RIFLE________________________

CENTERFIRE HANDGUN_________________    RIMFIRE HANDGUN____________________
BLACKPOWDER RIFLE__________________     BLACKPOWDER REVOLVER___________
SHOTGUN_______________________________   ANTIQUE FIREARMS___________________
OTHER SHOOTING SPORTS________________________________________________________

APPLICANT

 

TYPE OF MEMBERSHIP REQUESTED:  REGULAR ______ FAMILY______ JUNIOR______

WHAT ARE YOUR EXPECTATIONS FROM MEMBERSHIP IN THIS GUN CLUB?

 

SIGNATURE OF APPLICANT:_______________________________________________________

SPONSOR

I AGREE TO SPONSOR THE ABOVE APPLICANT INTO THE LAKE GEORGE GUN CLUB INC.  I WILL HELP THE APPLICANT TO BECOME FAMILIAR WITH ALL THE RULES AND REGULATIONS OF THE LAKE GEORGE GUN CLUB INC.  I ALSO AGREE TO INSTRUCT THE APPLICANT IN THE PROPER AND SAFE USE OF THE GUN CLUB RANGE.


SIGNATURE OF SPONSOR:_________________________________DATE:__________________

CLUB ACTION

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         Rev. June 2, 2008

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