NC Hunters Association – Online Application

Type of Membership*

Full
Family (Spouse/Student)
Junior (Scholar)

Surname*

Christian Names*

Initials*

ID Number*

Title*

Preferred Name*

Residential Address*

Street Number & Name Area/Suburb City Postal Code

Postal Address

PO Box Number Area/Suburb City Postal Code

Tel (Work)*

Tel (Home)*

Tel (Cell)*

Fax*

E-mail*

Occupation*

FIRE ARMS

Calibre*

Calibre

Archery

Black Powder

Have you ever been a member of any other Hunters' Association?*

Yes
No

If YES, state the Association's Name

& Member Number

Has Dedicated Hunters Status ever been revoked or lapsed?*

Yes
No

Are you interested in Dedicated Hunters Status?*

Yes
No

CHASA Examination passed?*

Yes
No

Language/Taal*

Afrikaans
English

Correspondence Preference*

E-mail
Postal Services

Entry fee
R150.00 Per Application

Subscription per year
R700.00 Full
R350.00 Family (Spouse/Student)
R175.00 Junior (Scholar)

Proposed*

Membership Number*

Seconded*

Membership Number*

Date*

Do you accept the Code of Conduct?*

YES
NO

CLICK HERE TO READ THE CODE OF CONDUCT

Bank Details

Bank: ABSA
Account Name: Northern Cape Hunters' Association
Account Number: 071 226 5051
Branch Code: 632 005
Account Type: Cheque