Choosing Your Chapter & Membership Type
Choosing your chapter will determine which events you will be able to participate in. Once you pick your specific chapter location, you are only able to participate in those events (meetings and range). Pistol members are required to provide their valid NYS Pistol Permit number and expiration date. If you are a pistol permit holder, but decide to become a Non-Pistol Member, you cannot participate in the pistol portion of the range events. With that said, no Rifle Members are allowed to shoot any pistol what so ever during club range events.
Choose your chapter
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Eastern Suffolk
Western Suffolk
Nassau County
I Have Read & I Agree With The Rules Of Choosing My Chapter & Membership.
Name
First Name
Last Name
Phone number
-
Area Code
Phone Number
Email
example@example.com
How would you prefer to be contacted?
Email
Phone
It doesn't matter
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of birth
-
Month
-
Day
Year
Date
Shirt size
S
M
L
XL
XXL
XXXL
Do you currently own a valid NYS Pistol Permit?
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Yes
No
Please enter your NYS pistol ID number and exp. date
If you are applying for the Non-pistol membership, SKIP this question.
Do you have your own firearm that you might bring to range night to shoot? If not, skip next question.
Yes
No
If you do have your own firearm, we require all members to store their firearm serial numbers with the club in order to bring them to our range nights. The reason is because we have so many similar guns that our members own, that we don't want you, or anyone else going home with the wrong firearm. This includes new purchases while a member as well.
If you do not have the serial number available, you can contact our VP, Marlene, before you attend the next range night at mmpizzo5@gmail.com, or call/text the club at (631) 517-3047. Please fill out your firearm info below.
Firearm Make and Model
Firearm Serial Number
Terms & Conditions
This Membership Agreement will govern the terms of the Member’s membership rights and obligations and is a binding contract between you, the Member, and the Long Island Women's Firearm Club (LIWFC, Inc.). By checking the “I Agree” button on the membership form at the end of this Agreement indicates that you have read the Membership Agreement terms and agree to them, you understand the contents of the Membership Agreement; if applicable, that you have asked questions about any term of the Membership Agreement that you may not understand, and that you are agreeing to be legally bound by all the terms and conditions set forth in this Agreement. 1. ASSUMPTION OF RISK AND HOLD HARMLESS: I had read the Assumption of Risk, Indemnity and Liability Waiver Agreement, Range Rules and understand and agree to their terms and conditions. 2. MEMBERSHIP DUES: Membership dues are due every month (reoccurring on credit card given) on the same date that you signed up on, memberships shall continue until canceled by the Member in writing, which must be done 30 days before canceling your membership, or if the monthly payment is not made for any reason. You, the member, is responsible for canceling your own subscription via the email invoice you receive every month. If the Member’s membership is revoked, or her monthly payment is not made for any reason, and the Member later desires to rejoin, it will be necessary for the Member to re-enroll, and the Member will be subject to an administration fee of $25.00, and all new membership terms and conditions then in effect. Members are responsible for updating any credit card, debit card or bank account information changes, and LIWFC, Inc. is not responsible for termination of the membership due to the change of such information. *Refunds will not be given for previous months. * Refunds will not be given due to missed lectures, range events, and/or social events. Members are fully responsible for attending lectures and range events, and will not hold LIWFC, Inc. responsible if, or when, they cannot attend any event offered by the club. 3. MEMBER’S RESPONSIBILITIES: Members are fully responsible for their personal property and vehicles. In no case will LIWFC, Inc. be responsible for theft, loss or the safety of, or damage to any Member’s or guest’s property during monthly lectures, range nights, and social events. If a member has her own rifle, we ask that you register the serial number with LIWFC, Inc. for the sole purpose to avoid you, or other members from taking the wrong rifle. We (LIWFC, Inc.) will never use this information against you in any situation. If you decide not to register your rifle with LIWFC, Inc., you cannot bring your firearm to the club's range night. We have rifles available to use. Pistol members must have their valid pistol license on them with the serial number of the handgun/pistol on it. No member is allowed to bring any undocumented pistol to the club's range night. 4. EYE AND EAR PROTECTION: Eye and ear protection are required at all times by Members while in the range. Baseball hats are strongly recommended. You cannot enter range without safety glasses and ear protection. 5. RIGHT OF REVOCATION: Any Member that fails to obey any range officer instructions, range rules, basic firearm safety rules, LIWFC, Inc. policies, or any other term of membership is subject to expulsion from the range, suspension or revocation of their membership or range usage rights. There will be no refund of any monies; membership dues or administration fees, if any person is required to leave the property or any membership is suspended or revoked as noted herein. 6. PROHIBITED MEMBERS AND RULES: Persons who are forbidden by law from possession of firearms are not permitted to utilize the membership of LIWFC, Inc. and will be removed from the premises. By signing this Agreement, you express that you are representing that you are not prohibited by law or any court order from possessing a firearm, you are not under a domestic violence restraining order or injunction and that you are mentally fit to engage in the use of firearms. If a member has obtained any unlawful charges against them, LIWFC, Inc. has the right to decide to revoke her membership. Members shall not be permitted to enter the premises if they are under, or appear to be under, the influence of alcohol or drugs. Further, Members affirm they understand the consumption of drugs or alcoholic beverages is expressly prohibited at LIWFC, Inc., and that any person(s) who appear to be under the influence of alcohol, drugs or emotionally unstable, shall be denied access to any part of the premises. 7. DAMAGE TO RANGE PROPERTY: Any intentional or unintentional damage to any LIWFC of range property is the Member’s sole responsibility to repair or replace at LIWFC's or the range's discretion. The member shall report any damage or destruction of any LIWFC or range property and people. Members are fully responsible for their own actions. Member hereby consents to LIWFC charging its credit card, debit card or bank account for the cost of any repair or replacement to LIWFC or range's property. 8. LOADED FIREARMS: No firearms are allowed during monthly lectures. At the range, no loaded firearms are to be left unattended for any reason. No loaded firearms are allowed inside the member meeting locations, restrooms, or in any parking area. When we have range time, you may have your handgun on you secured in a holster and worn on the body in an approved manner, with a loaded magazine but no bullet in the chamber, and if movement from one range lane to another is needed, and RSO must transfer all firearms to the designated lane, and all firearms must be unloaded, and in the safe position before lane transfer. All long guns must be cased and unloaded at the shooting lane. 9. CAMERAS: LIWFC, Inc. works with ranges that operates a state-of-the-art monitoring security system which incorporates the use of high definition cameras and hidden surveillance equipment. Your presence with the LIWFC, Inc. and execution of this Agreement indicates your consent to be videotaped and recorded while with LIWFC, Inc. 10. PHOTOS, VIDEOS, AND MARKETING: During events, photos and videos will be taken by the BOD's. These photos and videos may be used for promotional purposes by LIWFC, Inc., and Member releases her likeness to be used by LIWFC, Inc. without further consent. If you do not want to be in any photos and videos for marketing purpose, please let a BOD know ASAP.
I have fully read, and understand, the LIWFC Terms & Conditions.
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I agree
Privacy Policy
The Long Island Women’s Firearms Club respects your privacy. This Privacy Policy explains how we collect date such revised Privacy Policy is posted.COLLECTION OF YOUR INFORMATIONWe may collect information about you in a variety of ways. The information we may collect on the Site includes:Personal DataPersonally identifiable information, such as your name, shipping address, email address, and telephone number will be collected if you become a paying member, or purchase merchandise from the club. , use, disclose, and safeguard your information when you visit our website, www.LIWFC.org, including any other media form, media channel, mobile website, or mobile application related or connected thereto (collectively, the “Site”). Please read this privacy policy carefully. Financial information, such as data related to your payment method (e.g. valid credit card number, card brand, expiration date) that we may collect when you purchase, order, return, exchange, or request information about our services from the Site . [We store only very limited, if any, financial information that we collect. Otherwise, all financial information is stored by our payment processor, Authorize.Net, and you are encouraged to review their privacy policy and contact them directly for responses to your questions.] Data From Contests, Giveaways, and SurveysWe may use your personal and other information you may provide when entering contests or giveaways and/or responding to surveys for limited solicitation opportunities but promise to not flood your email. USE OF YOUR INFORMATION*Having accurate information about you permits us to provide you with a smooth, efficient, and customized experience. *Specifically, we may use information collected about you via the Site to:*Administer sweepstakes, promotions, and contests.*Compile anonymous statistical data and analysis for use internally or with third parties.*Email you regarding your account or order.*Enable user-to-user communications.*Fulfill and manage purchases, orders, payments, and other transactions related to the Site.*Generate a personal profile about you to make future visits to the Site [and our mobile application] more personalized.*Increase the efficiency and operation of the Site [and our mobile application].*Monitor and analyze usage and trends to improve your experience with the Site [and our mobile application].*Notify you of updates to the Site [and our mobile application]s.*Offer new products, services, and/or recommendations to you.*Prevent fraudulent transactions, monitor against theft, and protect against criminal activity.*Process payments and refunds.*Request feedback and contact you about your use of the Site.*Resolve disputes and troubleshoot problems.*Respond to product and customer service requests.*Send you a newsletter.*Solicit support for the Site DISCLOSURE OF YOUR INFORMATIONWe may share information we have collected about you in certain situations. Your information may be disclosed as follows: By Law or to Protect RightsIf we believe the release of information about you is necessary to respond to legal process, to investigate or remedy potential violations of our policies, or to protect the rights, property, and safety of others, we may share your information as permitted or required by any applicable law, rule, or regulation. This includes exchanging information with other entities for fraud protection and credit risk reduction.Third-Party Service ProvidersWe may share your information with third parties that perform services for us or on our behalf, including payment processing, data analysis, email delivery, hosting services, customer service, and marketing assistance.SECURITY OF YOUR INFORMATIONWe use administrative, technical, and physical security measures to help protect your personal information. While we have taken reasonable steps to secure the personal information you provide to us, please be aware that despite our efforts, no security measures are perfect or impenetrable, and no method of data transmission can be guaranteed against any interception or other type of misuse. Any information disclosed online is vulnerable to interception and misuse by unauthorized parties. Therefore, we cannot guarantee complete security if you provide personal information. To request removal of data, please contact us using the contact information provided below, and include the email address associated with your account and a statement. We will make sure the data is not publicly displayed on the Site, but please be aware that the data may not be completely or comprehensively removed from our systems. CONTACT US If you have questions or comments about this Privacy Policy, please contact us at LongIslandWomensFirearmClub@outlook.com, (631) 517-3047
I have fully read, and understand the LIWFC Privacy Policy.
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I agree
Purchasing, Returns & Exchange Policy
PURCHASING: An 8.64% sales tax and a 3% fee must be charged for credit card purchases. RETURNS & EXCHANGES: We hope you love your purchase, but we understand that some things just don't work out as planned. If for any reason you are not completely satisfied with an item, you may return it to us for exchange or a full refund less any taxes and fees. Returns must be delivered to us within 30 days of the date you received the item(s). If you would like to exchange your purchase, the product you are exchanging with must be of equal or less than the value of the original product purchased. However, you may exchange your product for a higher value product, and pay the difference to make a return, email us at LongIslandWomensFirearmClub@outlook.com to request a return authorization. Please include the item(s) you wish to return.
I have fully read, and understand, the LIWFC Shipping, Return, & Exchange Policy
I agree
Waivers And Liability
Waivers will be either sent to you electronically, or in person. In order to participate in any club events, you must sign any waivers we may have for that specific time.
Do you understand and agree?
*
I understand, and agree
New Member Orientation
All new members are required to attend an orientation before any event. This is a 4 hour class that will go over the safety and the basics of firearms, range safety, etc.
I agree that I am required to attend the New Member Orientation in order to continue to be a participating member of the LIWFC, Inc.
Meeting and Range Requirements
The LIWFC, Inc is an educational club. Meaning, every lecture and range nights are for the purpose to educate club members about, but not limited to, firearm safety, self-defense, and home defense. Therefore, we require members to attend a designated number of lectures and range events per calendar year. Non-PISTOL (RIFLE) MEMBERS: Must attend a minimum of 9 out of 12 lectures, and 4 out of 6 range events. PISTOL: 9 out of12 lectures, 9 out of 12 range events. There are no make-up events available, and LIWFC, Inc. has the right to determine to revoke membership from any member who does not comply.
I understand, and I agree that I am required to attend the said number of lectures and range events as per my membership option.
Emergency Contact Info
In the event where you may need an ambulance, we ask to document any health information so that we can give it to the emergency responders. Everything in this column, as well as this entire form is confidential. No one will view your personal health information other than the required medical professionals.
Emergency Contact Info
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First Name
Last Name
Phone Number
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Please enter a valid phone number.
Relationship
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Please list any health conditions that the medical professionals need to know:
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Please list any medications that the health professionals need to know:
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Do you have any allergies to any medications?
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Insurance Information (Type, Member ID #, Group ID #):
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Please list any other information that the medical professionals should know about:
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Choose Your Membership
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Suffolk County Pistol Membership
$
68.20
for each
month
Suffolk County Non-Pistol Membership
$
51.75
for each
month
Nassau County Pistol Membership
$
68.20
for each
month
Nassau County Non-Pistol Membership
$
51.75
for each
month
Credit Card
Name
*
First Name
Last Name
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