Sackville Rod & Gun Club Membership Application
Sign in to Google to save your progress. Learn more
First Name *
Middle Initial *
Last Name *
Preferred/Nickname
Date of Birth *
MM
/
DD
/
YYYY
Address *
City/Town *
Province *
Postal Code *
Phone Number *
Email Address *
PAL Number (Type "0" if no PAL) *
Do you currently have restricted/prohibited firearms? *
I certify that 1) the above information is correct 2) my hunting & fishing privileges are not currently suspended/revoked by provincial or federal authorities 3) I am not prohibited from owning or using firearms . (Type full name to certify) *
If under the age of 18 include parent/guardian full name and phone number below
Membership type *
Family Membership
Spouses and dependants living in same household as a full member receive a 50% discount
If you are a spouse or dependant, please include primary members name and phone number
E-transfer Directions
Please E-transfer appropriate amount to membership@sackvillerodandgun.ca
Amount will be auto-deposited and membership card will be mailed upon confirmation of correct payment (~7 business days).
We will try to accommodate local pick up if preferred.
Questions & Comments
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy