Note: This form must be correctly filled in to
meet our insurance requirements. Any applicant not satisfying the requirements
of this form, will not be permitted to shoot. All new and current
Members must be financial members of the Australia Bowhunters
Association (ABA).
WELCOME TO THE WYNDHAM REBEL ARCHERS INC.(WRA)
Please complete this form carefully. If you have any difficulties, please
ask for help.
Todays Date: ___/___/___ A.B.A. Membership No. _________________
I, ______________________________________________ Date of Birth:
___/___/____
(full Name)
Of _______________________________________________________
Town / Suburb _______________________________ Post Code:____________
Phone Number (H): ____________________ Mobile Number: __________________________
If you agree to your phone numbers being published in the membership
list place tick here: ______
Email Address: ____________________________________________ (Optional)
Apply for membership of Wyndham rebel Archers Inc. and undertake to
conduct myself
in accordance with the constitution and rules of the Wyndham Rebel
Archers Inc. and the ABA
(PLEASE TICK ONE.)
(PLEASE TICK ONE)
Annual renewal ____
Family Membership
______ $55.
Past Member ____
Single Membership
______ $33.
New Member ____
Junior Membership
______ $16.50
Cub Membership
______ $16.50
New Member Joining fee ______ $11.
Other Family Members who wish you wish to enrol as members.
NAME
A.B.A. Number
Date of Birth
_____________________________
____________
__/__/____
_____________________________
____________
__/__/____
_____________________________
____________
__/__/____
I am prepared to accept responsibility for the above applicants who
are under the age of
18 years, until they attain such age.
_____________________________________ (signature of Parent or Guardian)
I certify that the above information is correct.
_____________________________________ (Signature of applicant)
Wyndham Rebel Archers Inc. reserve the right to refuse, suspend or terminate the membership of any person whose conduct contravenes the constitution or rules of the ABA or Wyndham Rebel Archers Inc.
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