Membership Application Form - Marylebone Rifle & Pistol Club

Marylebone
Rifle & Pistol Club
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Marylebone
Rifle & Pistol Club
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Membership Application Form

Members
MRPC Application Form
In order to join the club, please complete the following details and submit to the club.
Personal Information



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If less than five years at current addresss, please give details of previous home addresses, must include Post Code.

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Employment\Company Information


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Other Information

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If you are, or have been, a member of any other Club, Association or Society connected with shooting or firearms, please list them with dates of joining and leaving.


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Attach Key Documents

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References
Please give the names and permanent residential addresses of 2 referees. These cannot be close family. One can be a friend of at least three years and the other should be someone more formal e.g., a work colleague, Both referees must have UK addresses. If you are currently, or have within the last 2 years been a member of a shooting club, one of the referees MUST be the Secretary of that club.
Referee One
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Referee Two
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Additional Informaton

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Agreement

I HEREBY STATE THAT ALL THE FOREGOING INFORMATION IS TRUE AND ACCURATE TO THE BEST OF MY KNOWLEDGE AND BELIEF.

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.



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