Waikato

Air Gun Club

User Login

Waikato Airgun Club

Application for membership
 

First name:........................................................... Middle name:..............................................................

Surname:...............................................................

Firearms licence no. (members aged 16-18 years):......................................................

Family members (please list childrens' date of birth):

Name:..................................................................................................... Date of birth:......./......./............

Name:..................................................................................................... Date of birth:......./......./............

Name:..................................................................................................... Date of birth:......./......./............

Name:..................................................................................................... Date of birth:......./......./............

Name:..................................................................................................... Date of birth:......./......./............

Name:..................................................................................................... Date of birth:......./......./............

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

....................................................................................................................................

City:............................................................................................................

Postal code:............................

Telephone no:........................................................

Mobile no:..................................................................

E-mail address:................................................................................

Membership fees (tick applicable box):

□ Adult (18 years and older):                                                                                   $35.00

□ Junior (younger than 18 years):                                                                             $20.00

□ Family:                                                                                                               $60.00

Payment method:                 Cash □         Bank Deposit (use name as reference) □

Bank account details: Westpac

                                      Waikato Air Gun Club Association

                                      03-1556-0424639-000

Range fees:

A range fee of $5.00 per member per day, visitors $7 per day.

The first shoot of a non-member will be free, on the second shoot a range fee of $7.00 will apply and thereafter the non-member will have to apply for membership.

By signing this form you agree that you have read and understood, and will comply to the WAGC constitution and rules.

Signature:...................................................................................................... Date:......./......./.............

Official use only

Membership number:.................................