Web site http://www.upperhumberrodandgun.com
Email: uhrgassoc@gmail.com Funds can be directly transferred here
Name: _______________________________ Date of Birth: ________________________
Address: ____________________________________________Town________________
Postal Code: _______________Email: _________________________________________
Phone _____________________________ Cell __________________________________
Please include the following if you possess firearms or if you intend to use our ranges:
□ New photocopy of both sides of your valid Firearms License (PAL)
□ Firearms License #: ______________________________ □ Expiry Date _______________
MEMBERSHIP FEES:• Includes $5,000,000 liability insurance through National
Firearms Association• Payment must be included/completed with renewal or
processing may be delayed. • Fees for 2025 season : All Taxes Included
□ $95 annually, if received or postmarked on or before Feb. 28, 2025
□ $105 annually, if received or postmarked after Feb. 28, 2025
□ $110 annually, if received or postmarked after April 30, 2025
Membership runs from Feb 1, 2025 – Jan.31, 2026 regardless of the date of renewal.
Indicate payment choice: □ Cash □ Cheque □ Money Order □ Bank Draft
□ Electronic email (send to: uhrgassoc@gmail.com)
Privacy Statement: All membership renewal information is confidential and will not be released,
except for insurance coverage purposes and Canadian Firearms Centre requirements, without the
signed written consent of the member.
Form must be completed, signed, and dated for processing (include copy of PAL).
Signed: _________________________________ Date: __________________________
HOME OF THE ALL NEWFOUNDLAND BIG GAME TROPHY COMPETITION
2025 RENEWAL MEMBERSHIP APPLICATION
UPPER HUMBER ROD AND GUN ASSOCIATION
177 GOOSE ARM ROAD, DEER LAKE, NL A8A 3H9
