DWA

Membership Application

Please complete:

Forename

Surname

Address 1

Address 2

City

County

Postal Code

Country

Email

Telephone

Mobile

Occupation

Previous Shooting Experience?

Current Shotgun Licence

Current Firearms Certificate

BASC Member

BASC Membership No (if applicable)

Have you ever been refused a

Firearms or shotgun certificate?

Forename of Proposer (if applicable)

Surname of Proposer (if applicable)

Telephone of Proposer (if applicable)

Forename of Seconder (if applicable)

Surname of Seconder (if applicable)

Telephone of Proposer (if applicable)

I hereby agree to my details being used by the DWA Committee for associated business:

I hereby agree to my details being securely stored by the DWA:

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