Club Permit to Acquire Approval

Gold Coast Pistol Club Ltd. Approval for Permit to Acquire

CLUB NUMBER: 80000014
Members Club Number*
Members Name*

First NameMiddle NameLast Name
Club Membership Expiry Date*

DayMonthYear
Membership Renewal Date EG: 31/05/2055
Email*

Confirmation EmailTo ensure accuracy please place your email in both Fields
Cat H licence number*
Cat H licence expiry date*

DayMonthYear
Date
Member Address*

Street Address

Street Address Line 2

CityState

Post Code
Calibre:*
Magazine Capacity*
Barrel Length (mm):*
Pistol Action*
Select the action of the pistol you require
IMPORTANT
It is not the Clubs responsibility to justify the acquisition of your desired firearm. The Weapons Act requires you to have a "Genuine Need" for the firearm. You will be asked as part of the PTA application "Please state the reason why the weapon is required and why the need cannot be satisfied in another way". Your answer to this must relate to a competition you wish to participate in, and the handgun you wish to acquire is for that specific competition, for which you currently have no suitable firearm.
Reason for the type of pistol to be acquired:*
Should be Empty:

Gold Coast Pistol Club Ltd. Approval for Permit to Acquire