Scottsdale Membership Application 2025-2026

T04 SSAA Scottsdale (Inc) Membership Application 2025/2026
New Member Information:
For all new members once you have submitted this form, you must attend a minimum of three club shoots. Following this, your application will be considered for approval by the Committee. Once your application has been approved, you will be provided with the club's account details so that the required fee can be electronically transferred. If you have any questions, please feel free to contact Secretary on: Email: secretary.t04@gmail.com
Name:*

First NameLast Name
Date of Birth*

DayMonthYear
Membership Type:*

Single MembershipFamily Membership
If you select Family Membership Please follow the following Steps:

Step 1: You must complete the registration form;

Step 2: The other member(s) under the family membership must complete the online registration form;

Payment | Only 1 payment of $75.00 is required to be made for the Family Membership.
Is this a Renewal or a New Membership?*

RenewalNew Membership
Address:*

Street Address

Street Address Line 2

City / TownState

Post Code
E-mail:*
Mobile Phone:*
Firearms Licence No:*
Licence Category (Tick whichever is applicable)*

ABCDHMinors PermitNone (awaiting approval)
Licence / Permit Expiry Date:*

DayMonthYear
Genuine reasons for possessing your firearms*

1 - Sport or target shooting2 - Hunting3 - Primary production4 - Animal population control5 - Animal welfare6 - Business (firearms dealer, security industry etc)7 - Firearms collection8 - Show or exhibition
SSAA Membership Number*
SSAA Membership Branch Information (e.g. T04 Scottsdale)*
SSAA Membership Expiry Date:*

DayMonthYear
What year did you join the club?*
Membership Renewal Payment Type*

Electronic Funds TransferEFTPOS at the Range
Please email confirmation of payment to

secretary.t04@gmail.com
Verification:*
Should be Empty:

T04 SSAA Scottsdale (Inc) Membership Application 2025/2026