Name------------------------------------------------Address---------------------------------------------------

 

-------------------------------------------------------------------------------------P/C---------------------------

 

Branch--------------------------------------------- Phone No.-------------------------------------------------

Please tick as applicable

Open , Grade ,  Veterans and Ladies            $120                 Date of Birth ____/____/19___                 

Juniors  (age as per FITASC rules U/21       $80

at 31^st Dec.2007)

Cheques payable to :- Field and Game Federation of Australia

                                    2 Rolfe Court Leopold Victoria 3224

Please include a stamped self addressed envelope so you may be advised of shooting times

 

 

 Print and forward to the above address