Ssaa Warwick Branch Q04

SSAA WARWICK BRANCH –Q04

NOMINATION FORM – QLD STATE IRB QLD STATE RF BR CHAMPIONSHIPS

26TH – 30TH MAY 2016

A: YOUR DETIALS

Name:…………………………………...... Address……………………………………………………………………………..

……………………………………………………………PC…………………………….… Tel Home:………………………………………......

Mobile…………………………………………………..BR Comp Number……………………………………………………………..

SSAA Membership Number……………………………………….Membership Due Date…….…………………………...

Sharing Flags/Equip……………………………….With Who…………………………………………………….………………………...

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B: EVENTS (PLEASE TICK APPROPIATE BOXES)

THURSDAY 26TH PRACTICE FREE TO ALL

FRIDAY 27TH QLD STATE IRB

SATURDAY 28TH QLD STATE IRB ADULT $40.00 JNR $20.00 (FOR 2 DAYS)

SUNDAY 29TH QLD STATE HRB ADULT $40.00 JNR $20.00

MONDAY 30TH QLD STATE LRB ADULT $40.00 JNR $20.00

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C: MEAL OPTIONS: ( IF REQUIRED – PLEASE TICK APPROPIATE BOXES )

DAYS - FRIDAY SATURDAY SUNDAY MONDAY

BREAKFAST - $5.00 PP / DAY

LUNCH - $8.00 PP / DAY

DINNER - $10.00 PP /DAY

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PREPAY OPTION: ( COMPLETE ONLY IF SENDING PAYMENT WITH THIS FORM )

TOTALS

QLD STATE IRB ……………EVENTS ADULT @ $40.00 ea…………… EVENTS JUNIOR @ $20.00 ea ………………

QLD STATE BR RF ……………EVENTS ADULT @ $40.00 ea……………EVENTS JUNIOR @ $20.00 ea ……………..

AMOUNT TO PAY IN FULL……………………

PLEASE ALSO COMPLETE NEXT PAGE (EQUIPMENT LIST)

SSAA WARWICK BRANCH EQUIPMENT LIST

QLD STATE IRB QLD STATE RF BR CHAMPIONSHIPS

26TH – 30TH MAY 2016

COMPETITOR NAME: ……………………………………………………………………………………BR Comp No………………………

(ONLY COMPLETE WHICH EVENT YOU HAVE NOMINATED FOR)

EVENT: QLD STATE IRB

EQUIPMENT LIST: Action………………………………………………………..Stock………………………………………………………..…

Barrel…………………………………………………………………………...Gunsmith………..………………………………………………………………..

Scope………………………………………………….……….…Power………………………………….………….Ammo………………………………….

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EVENT: QLD STATE HRB

EQUIPMENT LIST: Action………………………………………………………..Stock………………………………………………………..…

Barrel…………………………………………………………………………...Gunsmith………..………………………………………………………………..

Scope………………………………………………….……….…Power………………………………….………….Ammo………………………………….

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EVENT: QLD STATE LRB

EQUIPMENT LIST: Action………………………………………………………..Stock………………………………………………………..…

Barrel…………………………………………………………………………...Gunsmith………..………………………………………………………………..

Scope………………………………………………….……….…Power………………………………….………….Ammo………………………………….

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PLEASE RETURN BOTH FORMS TO :

SSAA WARWICK BRANCH

PO BOX 1261

WARWICK

QLD 4370.

OR EMAIL TO :

BEFORE CLOSING DATE OF : 19TH May 2016

2016 Qld State RF Benchrest Championships

2016 Qld State IRB Championships

Hosted By SSAA Warwick Branch 26TH – 30TH MAY 2016

Venue: SSAA Warwick Branch – Risdon Shooting Complex

196 Connelly Dam Rd Warwick – Range Tel 07 - 46671248

Dates: Practice Thursday 26th from 1pm

Friday 27 th IRB

Saturday 28 th IRB

Sunday 29 th Heavy Rimfire Benchrest

Monday 30 th Light Rimfire Benchrest

COST: Adult $40.00 Junior $20.00 – per event

(Includes Morning Tea, Afternoon Tea )

Breakfast $5.00 PP Lunch $8.00 PP Dinner $10.00 PP

Please indicate on your nomination form if you require any main meals and

On what day you require them in the boxes provided.

ACCOMODATION:

Full camping facilities available including Hot & Cold Showers & Modern Kitchen

Three Bunkhouses available

Weigh In and Sign In : at 6.30am for 7.00am start

For nomination forms and all inquiries please contact either

Mal 07 – 46647168 ( pm best time )

or email:

THIS EVENT IS LIMINTED TO 40 PLACES ONLY

This event to be shot as per Benchrest Rule Book

NOMINATIONS CLOSE ON 19th May 2016