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Guest Application Form - Marylebone Rifle & Pistol Club
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Marylebone
Rifle & Pistol Club
Guest Application Form
Members
MRPC Guest Form Application
In order to gain permission to bring a guest or family member, please complete the following details and submit to the club.
Member Details
MRPC Member Name
*
Please enter your full name, including any middle names.
Membership No
If you do not know please leave blank.
Member Email Address
*
Please enter the email address held by the club.
Contact No
*
Please enter the best contact number to reach you on.
Relationship to Guest
*
Please state e.g. family, friend, work collegue
How many years\months have known the Guest
*
Please enter Years & months you have known the person.
Guest Personal Details
Full Name of Guest (including middle names)
*
Email Address
*
Repeat Email Address
*
Mobile No
*
Landline
Official Permanent Address
*
Your current address.
Post Code
*
If less than 5 years at current address, please enter previous addresses below.
Previous Address
If less than 5 years at Offical Permanent Address, please enter all previous addresses with post code.
Gender
*
DOB
*
Nationality
*
Current Nationality or if you have dual nationality please state.
Country of Birth, including City\Town
*
E.g. France, Lyon
Additional Information
Additional Information
Any additional information you may wish to declare.
Agreement
Agreement Conditions
*
In providing the above information you consent to your details being sent to the Police for verification.
We will contact you once we have received confirmation from the Police.
I agree
Check word:
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