Range Pass – Adult – Rifle

Note:- Queensland Legislation requires a min. of 6 competition shoots for one class of concealable firearm, for a member with more than 1 class of concealable firearm, a min of 4 competition shoots are required per class of concealable firearm. (Section 133 of the Weapons Act 1990)
Pistol members must attach a copy of their Handgun Participation Sheet with this application.
Payment is to be made by the 31st of August 2017.

APPLICANTS UNDERTAKING:
By signing this form the applicant agrees to be bound by the Rules of the Association, which includes the Standing Orders, By-Laws and Constitution of S.S.A.A. Bundaberg Branch Inc.
This application is made in full recognition of the Branch’s requirement for responsible and ethical behaviour. I undertake to do all in my power to preserve the good image of the Branch and the sport. I understand that any members breaking any rules of this Branch or any laws and regulations put in place by the Weapons Act may be subject to expulsion from this Branch.

Price:

$120 for 1 year

First Name:* First Name Required

Last Name:* Last Name Required

Address Line 1:* Address Line 1 is Required

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City:* City is Required

Country:* Country is Required

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State/Province:* State/Province is Required

Zip/Postal Code:* Zip/Postal Code is Required

Your Phone Number:* Your Phone Number is Required

SSAA Number:* SSAA Number is Required

Proof of State Membership (I Have Emailed a copy of my state membership card to training@ssaabundaberg.com.au)*

For Pistol Members (I have Emailed current firearms license OR statement of eligibility (QP515) to training@ssaabundaberg.com.au)

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Membership Fields

Member Name:*

Email:*

Date Of Birth:*

SSAA Number:*

SSSA Expiry:*

Firearms License Number:*

Firearms License Expiry:*

Concealable License Number:*

Concealable License Expiry:*

Concealable Class A: Concealable Class B: Concealable Class C: Concealable Class D:

*

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