Fill in this form, then give the print command and send the printed form to us by fax 011 781 3486. Tel 011 781 3613. Do not submit payment by post! It is secure to include your credit card information on the form below, but do not post it. Instead, fax it to us. This information is handled only by our financial controller. In this way we ensure that the credit card transaction is secure. If you prefer a bank transaction or Internet banking, please contact us.
YES! Sign me up for R350 entry fee plus R1,050 subscription which includes R10 million hunter's liability insurance; totalling R1,400 VAT inclusive (US$ 180), Overseas members please add $25 for postage. The R350 entry fee is waived for persons over 60! If you are 21 years or younger you only pay R250 per year. The entry fee of R350 is waived for a spouse joining or other family members. The all-inclusive amount for two years is R2,350 inclusive of the entry fee and VAT(or US$ 380 plus $50 for postage). If you prefer to pay monthly, the amount is R100 per month, excluding the entry fee which is payable in a single sum.

Name
ID Number
Postal Address
  Postal code
Residential Address
Phone office Fax office
Phone home Fax home
Email address Cellphone
Do you have a Dedicated Hunter certificate from another hunting association? No Yes (copy attached) If yes, you do not need to do the shooting test to qualify for Dedicated Hunter status.
Do you wish to apply for Dedicated Hunter status? (R199): Yes Debit my credit card with R199 R199 included in my payment
I'm enrolling for: One year Two years Method of payment: Bank Deposit or Credit Card We accept all credit cards except American Express. I prefer to pay monthly (call the office)
Payable amount in Rand in Dollars Please fax a copy of the deposit slip to us.
Card number
Card Expiry Validation no.*
* The last three digits on the reverse side of the credit card

I have not been found guilty of a criminal offence nor has my firearm licence had been revoked at any time. I accept the Constitution and Codes of Conduct.
I attach my signed Wingshooters Charter Declaration.
Signature: Date: