Register for a new Rooikraal Shooting Range account


Use the form below to create a new account. Banking details and the fee structures will be sent to you via email. Once you membership fees have been received by Rooikraal Shooting Range your account will be activated.

You will be able to:
Maintain your personal details
Maintain a list of all your firarms that will be used at the range
View and print Range Log (all your visits to the range)


Password Requirements: To be a minimum of 4 characters in length

Personal Information
First Name
Last Name
Id Type
Nationality
Id Number
Date Of Birth
Gender
Email Address
Password
Confirm Password
Contact Details
Cell Number
Home Tel
Work Number
Fax Number
Additional Details
Home Language
Physical Address Details
Physical Address Line 1
Physical Address Line 2
Physical Address Line 3
Physical Address Postal Code
Postal Address Details
Postal Address Line 1
Postal Address Line 2
Postal Address Line 3
Postal Address Postal Code
Declaration by Applicant
I, (name of applicant), declare, to the best of my knowledge, that all the information provided is complete and correct.

Signed at (city) on this, the 26 th day of September 2017.


I accept the above declaration:

 

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Rooikraal Shooting Range