Membership Form (October 2016- September 2017)

Month 1st October 1st January 1st April 1st July
Senior $130 $100 $70 $40
Junior (up to age of 20) $80 $62.50 $45 $27.50
Family (at least 3 members) $300 $227.50 $155.00 $82.50
Student (with ID# ___ ) $105 $81.25 $57.50 $33.75

Fees include WAA Membership

The first family member is included in above family price, each extra family member needs to pay an additional $10 to become a WAA Member

Non-Shooting Member $15 Associate Member $30

Banking details – Westpac 03-1519-0033700-000

We prefer payment by internet banking, please reference payment with your name & current membership number (if applicable).

Membership Fee paid by *
Required
Name *
Your answer
D.O.B *
MM
/
DD
/
YYYY
Street *
Your answer
City *
Your answer
Post code *
Your answer
E-mail *
Your answer
Home Ph
Your answer
Mobile Ph
Your answer
Existing Membership No
Your answer
Student ID Number
Students Only
Your answer
New Member - Date Joined
Your answer
Membership Type *
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