MEMBERSHIP APPLICATION/RENEWAL

New South Wales Big Game Rifle Club Inc.

Name:................................................................

Address:.............................................................

Suburb:...............................................................

State:....................................... .........................

Post/Zip Code:.................................

Country:...........................................

Phone: (Bus.)...................................(Home)....................................

(Mobile).................................(Fax) .....................................

Your Shooters Licence No......................

Expiry Date: ................................

Your SSAA Membership No...............................(if applicable)

Financial: Yes/No

Signature............................................

Date............................................

Membership Fee $35.00

Note: Australian Members of The BGRC must be members of The SSAA to shoot in Trophy Shoots under the Constitutian of the SSAA and the BGRC.

N.S.W. Big Game Rifle Club Inc.

Club Secretary R.D.Wayne Holloway
PO Box 3040 Eastlakes, Sydney NSW 2018 Australia
Fax/Phone: (02) 9317 4272
Mobile: 0417 295 082

Approval Nos. 405840438 : 405840454 : 405840454