| S.S.A.A. GROUP MEDAL AWARDS | S.S.A.A. GROUP MEDAL AWARDS | ||||||||||||||||
| S.S.A.A. Branch | S.S.A.A. Branch | ||||||||||||||||
| Award Claimed | Silver | Gold | Ruby | Diamond | Award Claimed | Silver | Gold | Ruby | Diamond | ||||||||
| Shooters Name | Shooters Name | ||||||||||||||||
| Postal Address | Postal Address | ||||||||||||||||
| Home Address | Home Address | ||||||||||||||||
| Award to be sent to | Award to be sent to | ||||||||||||||||
| Membership Expire Date | Membership Expire Date | ||||||||||||||||
| Rifle Details | Calibre | Rifle Details | Calibre | ||||||||||||||
| Action | Action | ||||||||||||||||
| Barrel | Barrel | ||||||||||||||||
| Scope Brand | Power | Scope Brand | Power | ||||||||||||||
| Powder Type | Weight | Powder Type | Weight | ||||||||||||||
| Case | Case | ||||||||||||||||
| Primer | Primer | ||||||||||||||||
| Projectile Brand | Weight | Projectile Brand | Weight | ||||||||||||||
| Range Officers Signature | Range Officers Signature | ||||||||||||||||
| Date | Date | ||||||||||||||||
| Range Officers Signature on face of target, with shooters Name. | Range Officers Signature on face of target, with shooters Name. | ||||||||||||||||
| Send to | S.S.A.A. Awards | Send to | S.S.A.A. Awards | ||||||||||||||
| M.H.Coady | M.H.Coady | ||||||||||||||||
| P.O. Box 221 | P.O. Box 221 | ||||||||||||||||
| MHC AW | Crookwell 2583 | MHC AW | Crookwell 2583 | ||||||||||||||