Membership Form Club Membership Form (#7)Δ Membership FormRequired Documentation to Complete FormTo complete this membership form you will need to upload specific documents that could include: 2 Referees (New Membership) Statement of Eligibility (New Membership) Participation Requirement Form Range Participation Card Pension Card Firearms Licence SSAA Membership Card Please note Cheques are no longer accepted for paymentAre you paying via Credit Card, Bank Transfer, Cash or Cheque Credit Card Bank Transfer Cash Life MemberMembership Type New Membership Membership Renewal Life Member Associate Member (2nd Family Member)Personal Details:First NameLast NamePhoneMembership NumberEmailDate of BirthAddress Line 1Address Line 2CityStatePost CodePlease upload your 2 referencesChoose File Have you completed your Participation Requirement form online? Yes NoSave & ResumeParticipation StatementPlease complete the Participation Statement before proceeding you can save and then resume your membership form once completedPlease upload your Participation StatementChoose File Please upload your Range Participation CardChoose File Do you have a household family member that has a current membership? Yes NoMembership NumberDo you have a pensioner card? Yes NoPlease upload your Pension CardChoose File Do you consent to having photos taken and used by the club? Yes NoDo you have a current first aid certificate? Yes NoExpiryEmergency Contact:Emergency Contact (First Name)(Last Name)PhoneBackground Information:Do you hold a SSAA Range Pass Card? Yes NoUpload SSAA Range Pass CardChoose File Are you a member of another pistol club? Yes NoWhich Club/s?Do you hold a current firearms Licence? Yes NoPlease upload your Statement of EligibilityChoose File What type of licence do you hold? Category H Category A & B Instructor’s Licence Collector’s Licence Other LicenceUpload Category H LicenceChoose File Upload Category A & B LicenceChoose File Upload Instructor’s LicenceChoose File Upload Collector’s LicenceChoose File Upload Other Licence/sChoose File I declare I have read and agree with the declaration of acknowledgement and will adhere to the Drug and alcohol policyPayment Information:Please pay your membership fee at the range as soon as possible. Adult Membership $75 Associate Membership $75 Junior Membership $75 Pensioner Membership $75 Life Member $0 Credit Card and processing fees will be added in payment summaryMembership year is from 1st July to 30th June Adult Membership $75 Associate Member $75 Junior Member $75 Pensioner Member $75 Life MemberBank Details Suncorp BSB 484-799 ACC 201008609 Adult Membership $75 Associate Membership $75 Junior Membership $75 Pensioner Membership $75Pay with Card (Stripe)No payment items has been selected yetSubmit Form Share this:TweetLike this:Like Loading…
