Lower Canada Arms Collectors Association Inc. Association des Collectionneurs d'Armes du Bas-Canada Inc Membership Application

Your membership allows you to:             Free access to our 5 annual shows;             An early admission to the shows ½ hours before the general public;             The opportunity to rent tables for sale or display;             Obtain new bulletin from the CFC. These are being mailed to you.             The membership fee is $40.00 for new members

Family name                Given name


 Home address (No: Street )


City                                      Province / State             Postal / Zip code 


Country
Canada United States

Home telephone                             Job description 

 Date of birth


 Employer


 Business telephone

 Business Address


Email address


I already collect      Yes No 
I would like to start Yes No

Type of Weapons     Type of collection                  Period
choose one Long guns Hand Guns Swords Amunition Uniforms Other            chose one Militariy Civilian                choose one Before 1900 1900-1945 Post 1945

If necessary give more details here
type here

Agreement:  
1) If accepted as a member  of the Lower Canada Arms Collectors Association, I agree, within reason
, to give my services where called upon by the directors in such areas as Committees, Directorships,
 and exhibitions or other tasks for the benefit of the Association,
2) I fully understand that the submission of this application does not bind or obligate the Association
 to accept me for membership 
3) I agree that any misrepresentation in this application shall be grounds for immediate termination of my LCACA
membership without recourse

Signature_______________________________________________ Date_________________________

                                                    I enclose my check for $40.00

                                       No application form shall be considered unless
                                                    membership check is attached

UNDER 18 YEARS OF AGE CLAUSE:
 I, the undersigned, state that I am the: ___________________________(State relationship)
of the applicant and do hereby approve of this application.
Telephone:  (______)____________Signature: ______________________Date:______________

ENDORSEMENT BY A MEMBER OF LCACA
I, the undersigned, being a member in good standing of the Association, consider the applicant to be 
a suitable person for membership in the Association,
MEMBER'S NAME IN CAPITAL LETTERS: ______________________________NUMBER:____________
Signed: ___________________________________Date:________________

OR, IN THE ABSENCE OF MEMBER ENDORSEMENT: ( to be filled out by the applicant )
I have at least one current registration certificate for restricted firearms ( handguns or other ).
I enclose a photocopy of one of these

Applicant's signature:_____________________________________________
note: the Firearms Acquisition Certificate ( FAC ) is also accepted for the above

PLEASE NOTE:
Either an endorsement by an Association member in good standing or a photocopy
of a registration certificate for a restricted firearm must be provided fir this application
to be considered.

For Association use only
Date received:_________________ by:__________________
Entered in computer: _____________subscription to JAC sent:______________
Membership Card  sent:______________
Notes:

_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________

Please, print this page, 
Attach any required documents ( have them signed when necessary )
and mail it along with your payment to:
LCACA Complexe Cousineau P.O. Box 37059
St-Hubert Quebec Canada J3Y 8N3