Membership Registration Form North Peace Rod & Gun Club Membership Expires March 31st, 2023 New Membership Or Renewal?(Required)RenewalNewType Of Membership:(Required)Single $140Family $170Senior (65+) $100Senior Family $120Junior (Under 18) $20NPRG Club Life Member BCWF Affiliation - Single $35NPRG Club Life Member BCWF Affiliation - Family $47Total Your Name:(Required) First Last Spouse and Children Names For Family Memberships:PAL#PAL numbers are mandatory for range use. Your PAL Expiry Date YYYY slash MM slash DD Phone(Required)Email(Required) Address(Required) Street Address Address Line 2 City Province AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Postal Code Waiver:(Required)I and my dependents (family and guests), agree to abide by required firearm regulations, safety procedures, club policies and guidelines. Failure to do so may incur loss of membership. Info - nprg.ca or our Facebook page: here. Agree Credit Card American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Expiration Date Month Month010203040506070809101112 Year Year20232024202520262027202820292030203120322033203420352036203720382039204020412042 Security Code Cardholder Name CAPTCHAPhoneThis field is for validation purposes and should be left unchanged.