SSAA BIG GAME RIFLE CLUB OF

WESTERN AUSTRALIA

 

MEMBERSHIP APPLICATION

2002/2003

 

Name: (Mr., Mrs., Ms., Miss., Dr.)….………………………………….………………….

 

Address:  …………………………………………………………………….………………….

…………………………………………………………………….…………………………….

 

……………………………………………………………

Post Code:    .…       

Home Tel.:

 

Tel. Bus: ………………….     Fax:  ………………. 

Mobile: ……………………..  E-mail………….…………………………..

 

 

 

……………………………………………

Signature

…………………………..

Date

 

Annual Membership Fee Structure

 

1 July to 30 June

 

Full Membership (Financial member of the SSAA, shoot in Club Competitions and Full Voting Rights)

Family **

Affiliate (Non member of SSAA and resides in Australia, may not shoot in club shoots or vote)

Associate Member

(Resides outside Australia only, may shoot in club competitions but are not eligible to vote)

 

(All fees to be paid in Australian Dollars)

$60.00

$85.00    

$45.00

$45.00    

 

               

Note:   Australian Full Members of the BGRC must be members of the SSAA under the Constitution of the SSAA & the Rules of the BGRC.

 

**  Please give names and ages of Juniors only: ..…………………………………………………………………………………

      ………………………………………………………………………………………………………………………………….

      Please Note:  Juniors  must (aged between 12 and 18 years) be accompanied by a Parent or Guardian who holds a Shooters License when participating in any event or in possession of a firearm.

 

For Office use only:

Treasurer:                                                              ÿ

Secretary:                                                              ÿ

Date Received: ……………………………………..

Membership Card Issues:                                                                       ÿ

Membership Card No.:  ……………………………                                                                       ÿ

 

 At this time the BGRC of WA does not have credit card facilities