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

Membership Level change

You have selected the Family Membership membership level.

A family living at the same home address. Children must be under 19 and attending fulltime school. Unrestricted shooting & access 365 days per year.

The price for membership is $209.00 now and then $110.00 per Year. 15% HST will be added to price at checkout.

Account Information Already have an account? Log in here

Email Address

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Password

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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

No

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

No

Family Member Information

Consent & Waivers

I have read the document and agree to receive e-communications (emails, texts, etc.) from the Club.

I have read and agree to the

I have read the Membership Acknowledgement and the Range Safety Handbook and understand both. I agree to abide by the safety rules and regulations in the Handbook and, the directions of a Line RO, a Certified RO and an officer or Director of the Club. And further, I agree it is my responsibility to (a) keep current with the safety rules and (b) keep my copy of the Handbook current as per the website.

Witness & Signature

Do you have a witness present?

Yes

No

Is your witness over 18?

Yes

No

Witness Name

Witness Email

Witness Phone

Your Signature

Date Signed

Do you have a witness present for 2nd Adult Family Member?

Yes

No

Is your witness over 18 for 2nd Adult Family Member?

Yes

No

Witness Name for 2nd Adult Family Member

Witness Email for 2nd Adult Family Member

Witness Phone for 2nd Adult Family Member

Signature for 2nd Adult Family Member

Date Signed for 2nd Adult Family Member

Payment Information We accept all major credit cards

Card Number

Expiration Date

CVC