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Club being transferred to: _____________________________________________Pistol Club
This letter is issued without enclosures or erasures.
It serves to confirm the following information:
Name
Present Address
Post Code:
NZPA number (FM1)
Email address:
FLIC Number: Expiry Date:
Affiliations: (IPSC, CAS, NZSGSSA)
Holster qualifications Action CAS
Range officer qualifications CRO Level I
(Show discipline)
Level II
(Show discipline)
Other qualifications
Club positions held
Comments
The member left in good standing
The member left at the request of the club
The member resigned
Signed:
Position in Club:
Club:
Contact Details:
Email:
Date:
Note: A copy of this letter SHOULD sent to Pistol NZ to advise the departure of the
member from the current club and the club to which the member is transferring.
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