GUN CLUB AFFILIATION FORM

Rm. 11-C Tower II, J. Bocobo, cor. Pedro Gil St., Malate, Metro Manila
(GCAF,2)
GUN CLUB AFFILIATION FORM
We, the undersigned authorized officers of ___________________________________________________________________________
NAME OF GUN CLUB
with office address at :
______________________________________________________________________________________________________________
No. and Street Name / Name of Building /Condo/Subdivision
Barangay
City / Province
with firing range located at:
______________________________________________________________________________________________________________
Street Name /Subdivision
Barangay
City / Province
LANDLINE No. : __________________________________ MOBILE No.:___________________________________
Contact Person: ___________________________________________________________
EMAIL ADDRESS: _________________________________________________________
hereby certify that our Gun Club is duly registered with the Securities and Exchange Commission with Reg. No._____________________
and that our Gun Club has a current recognition/accreditation with the PNP Firearms and Explosives Office.
We hereby signify the intention of our gun club to affiliate with the Philippine Shooters and Match Officers Confederation and to abide by
its rules and regulations. We have attached a copy of our SEC Registration Certificate; FEO Recognition/Accreditation; List of
Current Officers with their office address, landline and mobile number, and email address; and List of Members.
___________________________________________________
PRINTED NAME & SIGNATURE OF GUN CLUB SECRETARY
___________________________________________________
PRINTED NAME & SIGNATURE OF GUN CLUB PRESIDENT
ENDORSED BY:
___________________________________________________
PSMOC DISTRICT COORDINATOR
APPROVAL RECOMMENDED BY:
____________________________________________________
PSMOC ZONE DIRECTOR
APPROVED BY:
_________________________________
PSMOC SECRETARY
_________________________________________
PSMOC PRESIDENT
Gun Club Affiliation Fee: 3,000 Pesos
Individual Membership Fee: 500 Pesos
Individual Annual Dues: 1000 Pesos
Website: www.psmoc.org.ph
Contact No.: (Globe) 09158150927 , (Sun) 09226904704
Email Address: [email protected]
[email protected]