2021/2022 Membership
Valid from 1st April 2021 to 31st March 2022
* Required
Email address
*
Your email
For Family Membership please select family membership and fill in a new form for every member.
Membership Type
*
Family $80 (Includes kids up to 18 years old)
Senior $50 (Over 18 years old)
Junior $30 (Under 18 years old)
Payment Type
*
Cash
Internet - CATVA Westpac bank, 03 0802 0056997 00, Reference - YOUR NAME, Particulars – MEMBERSHIP
Home Address - include Suburb, and Town
*
Your answer
Home Phone
*
Your answer
Emergency Contact Name and Relationship
*
Your answer
Emergency Contact Number
*
Your answer
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