The information requested on this form is very important for
SAFE to maintain its credibility, so please
complete all sections. All information will remain confidential.
Print off and mail to the address below with your remittance.
Check box (one only) membership type:
[ ] Citizen (Private Citizens)
[ ] Professional (Active or retired police or
military)
[ ] Associate (civilians in police or
military)
[ ] Private Professional (private security or
investigation)
Please list any other groups you are a member of:
Check appropriate boxes:
[ ] I have been a victim of violent crime
[ ] A family member or friend has been a victim of
violent crime
[ ] I have used a firearm in self defence on
duty
[ ] I have used a firearm in self defence off duty
or civilian use
[ ] I have discharged a firearm in self-defence
[ ] I have used items other than firearms for self
defence (irritant sprays etc)
[ ] I have used force to prevent or repel crime
Name:
Address:
City:
County:
Postcode:
Phone:
Fax:
Email:
Occupation:
MP's name:
Party:
PLEASE MAKE CHEQUE PAYABLE TO: `SAFE GROUP' £15 Annual Individual, £25 Annual
Family