Personal Details

Home Address

Postal Address Same as Home Address

Membership Reference

My Existing or last recorded ACTA shooting details are:

New Member
I am a financial member of another club
(You must provide your ACTA M'ship No above and the name of your club below)

Membership Fees Due

CCTC Club Membership

$75

Compulsory QCTA Levy

$

A.C.T.A. Membership

Full Membership

$138.00

Partner of Member

$84.00

Veteren Concession (65 years and over at date of registration)

$84.00

Long Service Consession (30 years adult membership)

$118.00

Junior Membership

$40.00

Club Only Member

$60.00

ACTA Levy (applies to all NEW members excl other club members)

$6

TOTAL

The A.C.T.A. protects the privacy and security of information provided by you. By completing this form, you agree to the use of your personal information by A.C.T.A to process your registration details; to disclose to Clubs affiliated with A.C.T.A. for regulated events; and for internal purposes.
I undertake to abide by the Rules and By laws of the above mentioned Club, my State Association and the Australian Clay Target Association and I advise that I confirm with my state of residence Firearm Regulations and shall notify my club immediately upon non renewal, cancellation or suspension of my shooters licence.*

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