Membership Checkout Membership Information You have selected the Family Membership membership level. This level includes Membership for two adults living in the same household. Proof of residence is required for both adults (Utility bill, Driver's license, etc.) This membership is valid for one calendar year, and will expire on November 30 each year. Both members must have a valid Firearms License to become a member. Both members must be 18 or older at the time of application. NOTE: Please provide the requested information for ONE member now. Once payment is complete, we will contact you with instructions for adding your second member. The price for membership is $100.00 due now. Membership expires on 30 November 2024. Do you have a discount code? Click here to enter your discount code Discount Code Account Information Username Password Show Password Confirm Password Hint: The password should be at least twelve characters long. To make it stronger, use upper and lower case letters, numbers, and symbols like ! " ? $ % ^ & ). First Name Last Name Email Address Confirm Email Address Full Name LEAVE THIS BLANK Already have an account? Log in here Personal Information Date of Birth Preferred Language English French Please select your preferred language for communications from the club. Firearms License Information We are required to collect this information and submit it to the New Brunswick CFO. Please note; everyone who is in possession of restricted firearms MUST be a member of a shooting range. Do you have a Restricted OR Prohibited Firearms License? Non-Restricted Restricted Prohibited Firearms License # (########.####) Firearms License Expiry Date Please enter the expiry date of your Firearms License. Personal Emergency Contact Please provide contact information for a Personal Emergency Contact. We will use this information in case you are involved in an emergency while on the range or attending a club event. Emergency Contact Name (First, Last) Emergency Contact Phone Number (###-###-####) Emergency Contact Relationship Spouse Friend Mother Father Brother Sister Daughter Son Grandmother Grandfather Granddaughter Grandson Aunt Uncle Niece Nephew Cousin Payment Type Etransfer address is club-chaleur [@] outlook [.] com Make cheques payable to "Club de Tir Chaleur Shooting Club Inc." Do NOT mail cash Payment Type eTransfer Cheque Cash eTransfer Password: This is the password you MUST use when sending us a payment by e-transfer. *WRITE THIS DOWN! If you are paying by etransfer, please use this password for your transfer. Home Address First Name Last Name Address 1 Address 2 City State Postal Code Country Afghanistan Aland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Brazzaville) Congo (Kinshasa) Cook Islands Costa Rica Croatia Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Honduras Hong Kong S.A.R., China Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Ivory Coast Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao S.A.R., China Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestinian Territory Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu U.S. Virgin Islands US Armed Forces Uganda Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Phone Payment Information Card Number Expiration Date 01 02 03 04 05 06 07 08 09 10 11 12 / 2024 2025 2026 2027 2028 2029 2030 2031 2032 2033 Security Code (CVC) Discount Code I agree to the Range Rules Processing...