MEMBERSHIP APPLICATION FORM MEMBERSHIP APPLICATION FORM

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					                       MEMBERSHIP APPLICATION FORM                                                               MEMBERSHIP APPLICATION FORM
                          Membership to I.H.M.S.A. Australia Inc is open to all                                  Membership to I.H.M.S.A. Australia Inc is open to all
                          interested in the sport of Handgun Metallic Silhouette                                 interested in the sport of Handgun Metallic Silhouette
                          Shooting and who are SSAA members, and who agree to                                    Shooting and who are SSAA members, and who agree to
                          abide by I.H.M.S.A. Rules.                                                             abide by I.H.M.S.A. Rules.

                          All members receive a Rule Book, and Membership/                                       All members receive a Rule Book, and Membership/
                          Classification Card each year. Each member will                                        Classification Card each year. Each member will
                          receive an embroidered patch featuring the I.H.M.S.A.                                  receive an embroidered patch featuring the I.H.M.S.A.
AUSTRALIA INC             logo on membership application. Each Full Member will        AUSTRALIA INC             logo on membership application. Each Full Member will
                          receive copies of the “Silhouette” newsletter each year.                                receive copies of the “Silhouette” newsletter each year.

NAME: ………………………………………………………………………………….                                                 NAME: ………………………………………………………………………………….

ADDRESS: ………………………………………………………………………………                                                ADDRESS: ………………………………………………………………………………

………………………… STATE: ……… P/CODE: ……… PH: ……………………                                         ………………………… STATE: ……… P/CODE: ……… PH: ……………………

SSAA MEMBERSHIP NUMBER: ………………………………………..                                              SSAA MEMBERSHIP NUMBER: ………………………………………..
            EXPIRY DATE: ……/……/……                                                                  EXPIRY DATE: ……/……/……
Email: ………………………………………………………………………                                                     Email: ……………………………………………………………………….

                  FULL MEMBERSHIP                            [   ]    $20.00                             FULL MEMBERSHIP                             [   ]    $20.00

                  ADDITIONAL FAMILY MEMBERS                [ ]      $10.00                               ADDITIONAL FAMILY MEMBERS                [ ]      $10.00
                  (Membership No. of Full Member and Relationship to:                                    (Membership No. of Full Member and Relationship to:
                   ……………………………………………………….)                                                                ……………………………………………………….)

                  PENSIONER                                  [   ]    $10.00                             PENSIONER                                   [   ]    $10.00
                  (Please supply copy of Centrelink Card)                                                (Please supply copy of Centrelink Card)

       **Note: The Membership period is from July 1 to June 30 each year. Any new             **Note: The Membership period is from July 1 to June 30 each year. Any new
       Memberships paid between January 1 and April 1 will be half the price of the           Memberships paid between January 1 and April 1 will be half the price of the
       full year’s membership and will expire on June 30 of that year.                        full year’s membership and will expire on June 30 of that year.
       New memberships paid after April 1 will be the full amount and will expire on          New memberships paid after April 1 will be the full amount and will expire on
       June 30 of the following year.                                                         June 30 of the following year.

       Cheques payable to: I.H.M.S.A. Australia Inc                                           Cheques payable to: I.H.M.S.A. Australia Inc

       Mail with your payment to:           SECRETARY                                         Mail with your payment to:           SECRETARY
                                            I.H.M.S.A. Australia Inc                                                               I.H.M.S.A. Australia Inc
                                            58 Cinderella Drive                                                                    58 Cinderella Drive
       01.10.06                             SPRINGWOOD QLD 4127                               01.10.06                             SPRINGWOOD QLD 4127

				
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Description: MEMBERSHIP APPLICATION FORM MEMBERSHIP APPLICATION FORM