Association of Women Shooters of Canada

SURNAME: _________________________ FIRST NAME: ____________________________

STREET: ___________________________________________________________________

CITY: __________________________________ PROVINCE: ________________________

BUS. TEL: (_____) ______________________ RES. TEL: (_____) ________________

E-MAIL: _____________________________  DATE: ______________________________

General Information (if applicable)

OTHER ORGANIZATIONS: ______________________________________________________

SHOOTING INTERESTS:

Handgun: Bullseye ____ Practical(action) ____

Shotgun: Trap ____ Skeet ____ 

Rifle: Smallbore ____ Largebore ____ Hunting: ____ 

Collecting: ____

The Association of Women Shooters of Canada is a membership Association
dedicated to encouraging more women to become involved in the shooting sports.
Membership is open to men and women who share this common interest.

MEMBERSHIP FEES: $10.00 PER YEAR: FEE ENCLOSED:  $ _______________________

LEGAL FUND CONTRIBUTION: $ 25 ____ $50 ____ $100 ____ $ __________________ 

                                               TOTAL $ ____________________
PAYMENT OPTIONS:

Visa ____ Money Order ____ Cheque ____


Card No: ___________________________________ Expiry Date: _____/_____/_____

Signature of Applicant: ___________________________________________________