Brookby Archery Club
Membership Application form for existing members of Auckland Pistol Club
1. I am completing this form on behalf of:
a). Myself (go directly to question 3)
b). A youth member, under the age of 17 years who I am the parent or guardian of and who's conduct on the range I will be responsible for (go to question 2)
2. If you chose Option b) above and are completing this form on behalf of another, please put your full name in this box, otherwise skip this question and go on to question 3. to complete the rest of the form for yourself.
3. First Name
Last Name
Email Address Primary
Phone Number Mobile
Postal Address
Occupation
We have tried to keep this signup form as short as possible and only record the necessities. One way to make that possible is to allow Auckland Pistol Club to share your membership information with Brookby Archery Club. You need to give your consent for this to be allowed.
Yes, I consent to APC sharing my membership information with BAC
No.
By completing and submitting this online membership application I agree to abide by the constitution of the Brookby Archery Club and such further rules and decisions as approved and circulated by the clubs committee.
Please select
YES, please accept this as my digital signature and affirmation.
NO
Please select
No application is complete until your membership fee's for the Brookby Archery Club have been paid. If you have not yet paid please pay in cash to Cyrus or by online transfer to # ASB 123032-0733085-60 and use your PNZ number and name as the references.
I have paid my membership fee's
Please select
YES in cash
YES by online transfer
Not yet but next weekend.
Please select
Here is a free text field for any further information that you would like to convey or any questions you might have.
When your membership is confirmed you will receive an email from the BAC Secretary confirming your membership starting date and allocating you a unique membership number. ID cards will follow in time
SUBMIT FORM
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