Membership Application

Range Burlington is accepting new members and all new applicants are placed on the wait list which has at least a year wait. However, there are opportunities to get in sooner.

To find out more about the process and requirement to becoming a member view the Non Member Section. Use this form to send an on-line application to our Membership Director and you will be contacted within 10 business days with further details.

Salutation: MrMrsMiss
Full Name (required):
Alias/Nickname (if any):
Email (required):
City:
Province:
Postal:
Home:
Cell:
Occupation:
R-PAL:
If you are a member of a range or handle a firearm for employment please identify range/employer:
Your interests:
PistolIPSCRifleSilhouetteBlack PowderJuniorsAir RiflePPCODPAPlinking

You agree to abide by the rule and regulations of the Burlington Rifle and Revolver Club. Please check this box to continue.

When you press send, a copy of the form will be emailed to our Membership Director. You will also be sent a carbon copy and then you should be redirected back to the main page. If you are not redirected back to the home page, it could be a browser or javascript setting on your end. Do not keep pressing the send button. Please make sure that your email program will accept email from *.rangeburlington.ca. Please remember to check your SPAM folder if you do not get a copy to confirm receipt of your application. Due to server load, this can take up to 30 minutes.

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