Membership Checkout - Musquodoboit Valley Rifle & Revolver Club (MVRRC)

Membership Level change

You have selected the Senior Membership membership level.

The person must be over the age of 85.

The price for membership is $15.00 per Year. 15% HST will be added to price at checkout.

Account Information Already have an account? Log in here

Email Address

Confirm Email Address

Password

Confirm Password

First Name

Last Name

Full Name LEAVE THIS BLANK

Personal Information

Middle Initial

Sex

Date of Birth

Occupation

Emergency Contact

Emergency Contact Phone

Street Address

PO Boxes are NOT accepted. Please enter your civic address.

City

Province

Postal Code

Home Phone

Work Phone

Cell Phone

Firearms License Type

POL

PAL

RPAL

Firearms License Number

Please include the first 9 digits of your POL/PAL/RPAL Number

Only an active member of the RCMP, the Halifax Regional Police, another municipal police agency and the Canada Border Security Agency are eligible for a Law Enforcement membership. Are you an active member of one of these agencies?

Yes

Only an active member of the Canadian Armed Forces or the Reserve Forces is eligible for an Armed Forces membership. Are you an active member of either the Canadian Armed Forces or the Reserve Forces?

Yes

Witness & Signature

Do you have a witness present?

Yes

Is your witness over 18?

Yes

Witness Name

Witness Email

Witness Phone

Your Signature

Date Signed

Payment Information

Card Number

Expiration Date

CVC

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