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 Only available to people aged 21 or over.	£25.00	£73.00
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.	£25.00	£73.00
Junior Restricted membership rights under age 21 Only available to people up to the age of 21.	£25.00	£44.00
Probationary - Junior Restricted membership rights under age 21 Only available to people up to the age of 21.	£25.00	£44.00
Probationary - Junior - Air Restricted membership rights under age 21 Only available to people up to the age of 21.	£25.00	£44.00
Full - Air Access to Wedgnock Ranges. Quarterly magazine Only available to people aged 21 or over.	£25.00	£73.00
Full - Collector Quarterly magazine Only available to people aged 21 or over.	£25.00	£73.00
Family Shooting Can enter closed MLAGB events. Not eligible for National Squad qualification. Can use MLAGB as FAC reporting club		£63.00
Family Social		£36.00
Affiliated Club	£25.00	£73.00
Magazine Only		£50.00
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

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Description

Requested Membership Subscriptions

One or more of the requested Membership applications require approval. You will be emailed if your request has been approved and, at that point, you will be able to view and accept or reject the membership offer and proceed with payment. will be emailed once the request has been approved and, at that point, they will be able to view and accept or reject the membership offer and proceed with payment.

Subscriptions have been automatically approved and have been added to your basket. Please now proceed there to make payment.

Pay for Subscriptions

Reference	Name	Category	Costs
			Joining Fee Cost /	View Manage

Group Subscriptions

- :

You have requested one or more group membership subscriptions. You should now use the register buttons below to add additional members into the available slots.

No.	Membership
	One of:

Next Steps

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