2013 World World Archery 3D Championships Team Selection Registration Form
Completed form along with application fee must be submitted by 5pm Tuesday 30th April 2013 Given Name
Family Name Address Post Code State Email Contact Telephone Contact Mobile Contact Email Division
Three (3 best score - Please list details and provide evidence of shooting the score (result sheet, scorecard etc).
Event Date Score
Event Date Score
Event Date Score
Signed Archer:
Date Signed Witness Date
NOTE - The witness must be an official of an RGB, Archery Australia, or other Archery Alliance Peak Body.
Application Fee: $25.00 must accompany this application.
Make cheques payable to Archery Australia Inc.
For Direct Credit BSB 012366 A/C 7720 39167
To submit form, save to your device and either email or print and post or fax -
Post - P.O. Box 54, Panania NSW 2213 Fax - 02 9772 2749 Email - [email protected]
