LRYC Membership Application

LRYC Inc Membership Application

New Members to complete form below to join our Club.
NOTE: If you are already a Club Member, please complete the seperate renewal form.
Name *
Please put you preferred Christian & Surname here
Partners Name
Only if applicable
E-mail *
Your preferred email address
Home Phone *

Area Code Phone Number
Mobile

Prefix Mobile Number
Date of Birth *

Day Month Year
Pension No:
If applying for Pensioner Membership
Home Address *

Street Address

Street Address Line 2

City State

Postcode
LRYC Inc Membership Types:

Single - $50.00 - Pensioner - $40.00

Family - $80.00 Junior - $25.00 Joining Fee - $20.00

Junior Membership U/16 Years

Family Membership is Based on 2 Adults and 2 Juniors U/16 in the one Family

Joining Fee (Once Only) for ALL New Members.

Direct Deposit fees to Bendigo Bank:

Account Name: Lilydale Radio Yacht Club Inc

BSB 633 108 Account No: 146 303 383

In the reference field: Please put your name.

When you have paid membership please email Lance Dunn (Treasurer) on treasurer@lryc.org.au to indicate that the money has been transferred to us.

THANK YOU.
Membership Requested *

Full Pensioner Junior Family
$20 Joining Fee

New Members Please Select
Family Membership indicate all other Family names here
For the purposes of our Club Communications, I give permission to allow LRYC Inc to send me Newsletters, Bulletins and any other Club Information to my email address.

Please note that LRYC Inc will not divulge your personal information to anyone.

By selecting the submit button below you agree to the above terms.
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LRYC Inc Membership Application