Registration Form

Personal Details = required

Full Name

Home Address

Home Phone

Work/Other Phone

Mobile Phone

Email Address

Alternate Email

Date of Birth

Gender

Male Female

Occupation

(Please indicate if you would be willing to help the Association should it need your expertise.)

Membership Start

When would you like your membership to start?

As Soon As Possible Specific Date

Preferred Start Date
(if applicable)

Membership Category

Please select your preferred membership category

Category	Joining Fee	Cost
Probationary	£20.00	£64.00
Full Can enter closed MLAGB events. Eligible for National Squad qualification. Quarterly magazine. Can use MLAGB as FAC reporting club Only available to people aged 21 or over.	£20.00	£64.00
Junior Restricted membership rights under age 21 Only available to people up to the age of 21.	£20.00	£38.00
Probationary - Junior Restricted membership rights under age 21 Only available to people up to the age of 21.	£20.00	£38.00
Family Shooting Can enter closed MLAGB events. Not eligible for National Squad qualification. Can use MLAGB as FAC reporting club		£53.00
Family Social		£30.00
Affiliated Club	£20.00	£64.00
Magazine Only		£35.00
Shooter's Certification Card SCC		£0.00

Data Protection

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Signature

Date

Please return completed forms to: Muzzle Loaders Association of Great Britain, MLAGB Membership PO Box 888 Haywards Heath RH17 9RE

Use this form to send an email to another member. You may only send to one member at a time. Your registered email address will be passed on to this member but you may also include alternative contact details.

Note: Emails sent via the website are not entirely private. A copy of every email is held on the database and this can be accessed by the Association officers using the Sent Emails page.

From

Alternative contact email

Another email address which the recipient can use to contact you.

Alternative contact details

Other contact details which the recipient can use to contact you e.g. phone number.

Subject

Message

Copy this message to my email address

Title

Description

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