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