CLUB MEMBERSHIP APPLICATION FORM
NB: Print this Application form  off and send it to us with your cheque.

All Communications to:
West Kent Shooting School
New Hay Farm, Old Hay
Paddock Wood
Kent TN12 7DG

VAT No: 522 5082 75

Please make Cheques 
payable to "WKSS"

Details will be treated as private and confidential
Details will be treated as private and confidential
I apply for membership of the Shooting Club for:
# Individual / Family / Gold Card # Delete as necessary

Surname: ……………………………….

Full Address: …………………….....…

…………………………………….…….

Post Code: ………………………….…

Home Tel: …………………..…………

First Names: ………......………………

Nationality : ………………….………..

Date of Birth: ………………….………

Occupation: …………………………...

Email :…………………….......................

Shotgun Certificate Details:-

Certificate No: …………………….

CPSA No: …………………....…….

Issued by: ………………………..

Expiry Date: ……………………..

Family Memberships Only: (Please List Family Members)

  1. ……………..……………………

  2. …………………………………

  1. ……………………………….…

  2. ………………………………….

I confirm that the above details to be true and accurate.    
I agree to be bound by the Rules of the Club.

Date: ……………………………………

Signature: ……………………………….

   Membership No: Allocated:  …………

   Date:………………………..............…

   Secretary:………………………....….

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