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