NQRA Membership Application

MEMBERSHIP APPLICATION & PERSONAL DATA FORM

for North Queensland Rifle Association Inc. (NQRA) and National Rifle Association of Australia Ltd (NRAA)
Please complete this NQRA Membership Application and Personal Data Form if:

1. YOU WISH TO JOIN A NQRA CLUB AS A NEW MEMBER

2. YOU TRANSFER FROM A NRAA/NQRA CLUB TO A/OTHER NQRA CLUB

3. YOU ARE A RETURNING MEMBER AFTER NOT RENEWING YOUR MEMBERSHIP FOR ONE OR MORE YEARS

Once completed, your form will be forwarded to the Captain of the NQRA Club indicated on this form to be endorsed before processing. It is imperative that you have made alreday contact with the Club and attended their range so the Captain knows who you are.

Membership follow the finacial year: start on 1 July of each year and end on 30 June of the following year. The first time that you join NQRA/NRAA you are eligible for a discounted price, if you are a returning member the membership fee is as a renewing member.

Membership payment are made to the NQRA club indicated on this form, please contact the club Secretary for fees and payment options. Contact nqraoffice@gmail.com if you need the club Secretary contact details.

If you are transferring from a NRAA/NQRA Club during the financial year and have already paid for your NRAA/NQRA membership, you need also to complete the Tranfer Form. Please contact nqraoffice@gmail.com. Failing to do so you will be charged the full NRAA/NQRA amount for the membership.

PLEASE COMPLETE ALL FIELDS AS REQUIRED AND APPLICABLE
NRAA SID
Leave blank if unknown
Club Name*
First and Last Name*

First NameLast Name
Middle Name and Preferred Name

Middle NamePreferred Name (if different than first name)
Date of Birth*

MonthDayYear
Gender*

Weapon Licence number (if applicable)
Weapon Licence expiry date (if applicable)

MonthDayYear
Shooting Position
Primary Shooting Discipline*
Membership Class*
Previous NRAA Rifle Club membership (if applicable)
Indicated NRAA Club name
If Previous Member of a NRAA Rifle Club, please complete:
I acknowledge and consent to photographs and electronic images at NQRA shooting events and other activities being taken of me during my membership of NQRA, through my State & Territory Organisation and my Club. Images and photographs are owned by NQRA and its member Clubs. Photographs and images may be used for promotional, marketing or other purposes and to promote the sport of target rifle shooting in general.*

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MEMBERSHIP APPLICATION & PERSONAL DATA FORM