CCTC Membership Renewal Application

Application Form


Personal Details

This form should only be used by members renewing their membership. If you wish to change the level of ACTA membership please ensure you have made the correct selection

Home Address

Postal Address (as above) OR... I wish to use a different postal address

Personal Details

Membership Renewal

Please answer the following questions supplying all information as required

Yes No

CCTC Club Membership









Compulsory QCTA Levy**


** The QCTA levy is applied by the QCTA on ALL ACTA memberships and does not form any part of your CCTC club fee

A.C.T.A. Membership

Full Membership


Partner of Member


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


Long Service Consession (30 years adult membership)


Junior Membership


Club Only Member


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



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.*