Pêcheurs et chasseurs de Montréal

Select

FrançaisEnglish

September 2010

RenewNew member		If renew, indicate your member number
MrMrsJunior

Last name	Donnée Invalide
First name	Donnée Invalide
Address	Donnée Invalide
City	Donnée Invalide
Province	Donnée Invalide
Postal code	Donnée Invalide
Phone (home)	Donnée Invalide
Phone (office)	Donnée Invalide
Cell.	Donnée Invalide
Email	Donnée Invalide
Correspondence	FrenchEnglish Donnée Invalide

Date of birth		(yyyy/mm/dd)
Possesion	Expire
Hand gun (restricted) Riffle (non-restricted) Clay pigeon (non-restricted) Donnée Invalide
I wish to suscribe for	years

Include your picture	You must include a picture of you

Other members of your family at the same address

Member #	Donnée Invalide
Member name

Husban / Spouse

	MrMrs
Last name
First name
Address
City
Province
Postal code
Phone (home)
Phone (office)
Cell.
Email
Possesion
Expire
année
mois
jour
Hand gun (restricted) Riffle (non-restricted) Clay pigeon (non-restricted)

Child

Last name
First name
Phone (home)
Email
année
mois
jour
Hand gun (restricted) Riffle (non-restricted) Clay pigeon (non-restricted)

Child

Last name
First name
Phone (home)
Email
année
mois
jour
Hand gun (restricted) Riffle (non-restricted) Clay pigeon (non-restricted)


I hearby certify that i have read and understood the rules and regulations of the Club de Tir L'Acadie and the Montréal Anglers and Hunters Inc., and i consent to comply to these regulations at all times.

Member signature _____________________________________________ Date _________________

Registration form