VRA Register

Central Victorian Rifle Club Registration Form

First Name*

Last Name*

Email Address*

Phone Number*

Gender*

Date Of Birth*

Shooter License*

Shooter License Expiry Date*

Password*

Confirm Password*

Home Address

Street Address*

Street Address 2 (optional)

Suburb*

State*

Postcode*

Postal Address Same as home

Street Address

Street Address 2 (optional)

Suburb

State

Postcode

Membership Fee

Please complete all the required fields of the membership application before selecting a club and membership type.

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I have double checked that the information I have provided is accurate, spelt correctly and uses the correct capital letters. By ticking this box I signify that; I hereby apply to become a member of the Victorian Rifle Association Inc. and agree to be bound by the NRAA Code of Conduct & the VRA's SSRs, Rules, By-Laws and Standing Orders. VRA Policy Register

Please check the form and complete any missing fields.

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