BWSS MEMBERSHIP APPLICATION FORM
1st years membership £40 – including badge, certificate and rule book.
Annual renewal £35 – to be received by 29th February.
Annual membership and renewal
Juniors up to 18 years of age £20
Annual membership and renewal
Senior over 65 £30
£5 reduction for family member’s renewals after 1st member.
Please enrol me as a member of the British Western Shooting Society.
Name: ………………………………….… FAC no………………………
Address…………………………………….. SGC no……………………….
………………………………………………. Issuing force…………………….
………………………………………………
Post code………………….
Tel no………………………….
Fax no………………………..
e-mail…………………………………………….
Do you suffer from any illness or disability that would make shooting hazardous e.g. dizziness. Yes/No
Do you know of any reason that you should not hold a fire arms certificate. Yes/No
Have you ever been refused a FAC or SGC or had one revoked. Yes/No
If yes please give details:-
Chosen Alias………………………………………………
Second choice…………………………………………......
Declarations:
Signature……………………………….. Date………………………….
1st sponser/referee. 2nd sponsor/referee.
Name…………………………………..…….. name………………………………………….
Address…………………………………..….. address………………………………………
………………………………………….......... ………………………………………………..
……………………………………………….. …………………………………………………
Please enclose:
renewal your old membership card LINCS. PE25 3AA
if you have a problem ring
Allow 28 days for delivery. 01754 765046