Malta Allied Airgunners Club

(MAAC)
PO Box
Website: www.malta-maac.blogspot.com E-mail: maacmalta@gmail.com

Enrollment Form 2008/2009 New non Licenced members.

Section 1: Applicant Details and Declaration

Title Name Surname

Address

Town Post Code I.D. Card

Home Phone Mobile Phone

E-mail

I, the undersigned, hereby apply to join MAAC. My application form is accompanied by an original copy of a recent Police Fedina
Penali certificate, two passport-sized photographs, a non-refundable application fee of €5.00 plus payment as listed in section 2. I
agree and accept that the MAAC Administrative Committee’s decision is final and that I shall not contest it in the event that my
application is refused. I agree and accept that during my first six (6) months I must attend 4 MAAC activities, training or
competitions to obtain full membership. Membership may be terminated unless I follow this procedure successfully. If I am do not
have a Target Shooter B license then I must attend and pass the Airgun Safety and Introduction Course (ASIC) deemed necessary
for my membership and LOR from MAAC. As a member of MAAC I shall abide by the terms of Club statute and policies
established by the MAAC Administrative Committee. I agree and accept that the MAAC Administrative Committee shall process
and file my details in accordance with the Data Protection Act and that I shall notify the MAAC Administrative Committee in the
event of any changes in my personal details.

Signature Date

Section 2: Applicant Membership Fee.

a. Enrollment Fee in MAAC (one time non refundable) € 5 □
b. Membership fee Adult in MAAC for year 2008/2009 € 15 □
c. Membership fee Junior (14-18years) in MAAC for year 2008/2009 € 5 □
d. 3 Years Membership Adult in MAAC for years 2008 – 2011 € 40 □
e. Target Shooter insurance for year 2009 € ? □
TOTAL € __________

Payment by cash / cheque (Bank & No. ……………...……) received by: ………….……………...………

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 Section 3: General Practitioner’s Referral.
I hereby Dr. _________________________________________________certify that the applicant
is known to me as a person of sound moral character who is in a state of good mental health.
(Please include stamp).

Signature Date

Section 4: Additional Information.

Please indicate your airgun sporting discipline interests.

Air Rifle Field Target □

Air Rifle Bench Rest □
Air Pistol Practical Shooting □
Other Please Describe.

Applicant’ Signature: ………... …………………………………………… Date: ………………………………...

Section 5: For Internal Use Only.

Photos:

“Fedina Penali” required by new members without any Licence

Other:

Section 6 : Acceptance

Applicant Number:
Membership Number:

Accepted:
Not Accepted:

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Date of enrolment:
Probation End in:
MAAC Secretary:
Malta Allied Airgunners Club
(MAAC)

Section 7: Applicants Receipt – Applicants Copy.

Received from: ...................................................…………......………….
ID No: ……..................…… Date: ..................................
Received: € .………..…… Cash/Chq: ………...………..
Recipient: ………... …………………………………………………………
Member No.: ………..………
Signature: ………………………………...…….………….

Thank you for submitting your application to join MAAC. Make sure you have entered all the
information requested and other requirements. Contact details (telephone, mobile phone numbers
and e-mail) are essential for good communication. Your application will be treated within the
shortest time possible. Please keep this receipt in a safe place.
The MAAC Administrative Committee.

Website: www.malta-maac.blogspot.com E-mail: maacmalta@gmail.com