$50 Noms
Membership Form voucher
2014 ACTA
Phone (02) 9826 1399 Fax (02) 9826 1933 POST TO : PO Box 260 Horsley Park NSW 2175 *CONDITIONS APPLY
2014 Membership APPLICATION FORM please complete fully & return Date of Birth Membership Number Firearms Licence Number F/Lic Expiry / / / / Title First Name Address RENEWING MEMBER NEW MEMBER Surname Phone Home Work State-­‐ Postcode-­‐ Mobile EMAIL @ * Membership valid from 1 January 2014 – 31 December 2014  Membership Categories (includes ACTA, Club Membership, Zone & State Levies) Amount Full Member
Partner Member
Junior Member (12-18yrs)
Veteran Member (65 yrs+)
Concession/ Loyalty Member (30yrs+ adult membership)
New Start Membership
*ALL LADY MEMBERS WAIVE THE $60 CLUB FEE OFF ALL
MEMBERSHIPS (Ladies ONLY Deduct $60 off all memberships)
Club Only Member (TARGET only)- does NOT include CTSN & allows
$ 205.00
$ 155.00
$ 105.00
$ 155.00
$ 185.00
$ 125.00
LADIES less
$60
$ 90.00
$ 120.00
$ 12.50
$ 50.00
non-competitive shooting at CPCTC ONLY
Club Only Member (TARGET & HUNTING)- incl recreational hunting reason on F/Lic
ADD for NEW MEMBER - one off joining fee
ADD for HUNTING CLUB MEMBERSHIP
Total Amount Due $ Payment Choices **Credit card payments can be made by phoning the Club during opening hours Please charge $..........................my credit card : VISA MasterCard Credit Card Number PRINT Cardholder Name Signature Expiry Date / YES! I have read and agree to abide by the ACTA & CPCTC shooting rules & club ETTIQUETTE, constitutions
terms & conditions set out by the club (ATTACHED or available on website).
MEMBER TO SIGN: _______________________________________
DATE: __/___/__
Office Use Only RECEIPT Number: Viewed License Expiry Date Checked Entered ACTA form: Swipe card issued / / Staff Initial Entered CPCTC Database: Date PAID: / / Date RECEIVED: / / TO BE FULLY COMPLETED BY STAFF EXPLANATION OF ACTA Membership Categories:
FULL MEMBER- This membership includes social and competition clay target shooting on
all ACTA registered/affiliated clubs throughout Australia, also includes a monthly Clay Target
Shooting News magazine, competition booklet to record grades and scores, Welcome Pack,
swipe card from CPCTC to record attendances, newsletter from CPCTC and all other full
membership benefits from CPCTC. This membership includes all ACTA, State and Zone
levies.
PARTNER MEMBER - available to the partner/spouse of a paid ACTA FULL MEMBER and
has the same inclusions as a FULL MEMBER other than only 1 Clay Target Shooting News
magazine is sent to the same address – the partner member must be registered at the same
address.
JUNIOR MEMBER- only available to persons under the age of 18 years at time of
registration. Date of birth required. Competition and Social clay target shooting as per FULL
MEMBER explanation.
VETERAN MEMBER- is only available to the persons over the age of 65 years at the time of
registration, Date of birth is required. Competition and social clay target shooting as per
FULL MEMBER explanation.
CONCESSION / LOYALTY MEMBER - only available to persons with 30 years or more of
continuous Adult membership with the ACTA. Includes competition and social clay target
shooting as per FULL MEMBER.
NEW START MEMBERSHIP- offered to NEW MEMBERS JOINING for the first 12
months ONLY. New start members are able to participate in social clay target shooting
only, at all ACTA registered/affiliated clubs throughout Australia, this membership does NOT
include the monthly Clay Target Shooting News magazine.
-­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ -­‐ *LADIES MEMBERSHIP - NEW OFFER - CPCTC is now offering a deduction of $60
(CPCTC Club fee) off ALL memberships to LADIES ONLY for the 2014 calendar year. Lady
memberships are still entitled to the same inclusions as per the membership category they
are joining & the $50 nomination voucher as per the terms & conditions set out below. This
is a CPCTC club promotion to encourage more ladies in to enjoying our sport.
*Terms & Conditions for $50 VOUCHER –
This voucher is valid only at CECIL PARK CLAY TARGET CLUB and may be used ONCE
ONLY for any ACTA competition held at CPCTC during the 2014 calendar year upon
presentation of your CPCTC membership Swipe Card along with your Firearms License.
To redeem this voucher all competitors must be current registered members for 2014 with
CPCTC’s ACTA membership category (excluding New Start Members).
This voucher is NON- Transferrable, nor redeemable for “targets only”, cash, ammunition or
anything other than nominations up to the value of $50.
This voucher can only be redeemed in one transaction.