Associate Member Application Username:First Name:Last Name:Email:Gender:Street Address:Address (Line 2):City:State/ Province/ Region:Zip/ Postal Code:Country:Phone:Mobile:(Optional) ADF/CADET Service History?:Years Of Service:Unit (If Any):If you do not have a firearms licence then by making this application you are declaring that you do not have a current conviction (LESS than 5 years old) that would disqualify me from Firearm Ownership.If you have a Firearms Licence please advise the Type, Categories and Endorsements:Weapons Licence Longarms:Cat:Endorsed:Weapons Licence Handguns:Cat:Endorsed:Other Licence Type:Other Licence Number:Cat:Endorsed:MR1 & MR3 Categories can be endorsed on your Firearms/Collectors license by Weapons Licensing Branch (Q`ld Police Service) for re-enactment purposes ONLY – this will permit you to carry a firearm & to fire BLANK cartridges in a public place for the purposes of demonstration/display ONLY. (Police approval is required of the demonstration & firearms checked by our Arms curator). See the Arms Curator for assistance.Note: Collector Licensees who wish ONLY to satisfy their requirements that they are members of an Approved Historical Society, do NOT need MR1 & MR3. This is for reenactments only.IMPORTANT! Members who possess a current Firearm’s or Collector’s License please return a clear photocopy of both sides of the licence with this form. (This is for our records. This is part of our conditions as an Approved Historical Society (No: 4900000702), as required by Q`LD POLICE/ W.L.B. and for us to confirm that you are licensed. The information is stored secured & confidential by the membership secretary & is also available for use by the authorized person who fills out the QP 517 forms.11th LH Museum helpers are always needed & appreciated! Would you like to help out on special days or for general working parties? (If Yes or Perhaps the Curator of Arms will contact you about what is required) Yes No PerhapsDo you have any other skills? E.g.; Fitter, Boilermaker, Armourer, Carpenter, Electrical, Information Technology, Book Keeping Accounting CPA, etc.Skill/s:Would you like to make a Donation to the Museum? – Donations of $2 or more are Income Tax deductible and a stamped receipt can be issued. Issue a receipt? Yes NoPLEASE ADVISE WHY YOU WISH TO JOIN THE TROOP AND HOW YOU CAN CONTRIBUTE TO THE TROOP AND THE MUSEUMWhat is your reason?Do you know any of the Troop membersPAYMENT OPTIONS – IMPORTANT – PLEASE READ CAREFULLY!a) Cheque made out EXACTLY to “The 11TH LIGHT HORSE CT MM ASN INC”.b) Cash is not preferred but may be sent to PO Box 315 Zilmere, Qld 4034, via a registered letter –make sure the money is in another envelope first.c) Direct Deposits via internet or through your bank, can be done to our Account. Direct Deposit Details are: BENDIGO BANK BSB 633-000 Account Name The 11th Light Horse Caboolture Troop and Military Museum Association Inc Account Number: 1659469 48. Send a copy of the Deposit Slip with this form.Associate Membership Fee (Annual): $60Password:ShowUsernamePasswordForgot Password?
