Canberra Fishermans Club Membership Form

Canberra Fishermans Club Junior Membership Registration

Complete the form below to sign up for membership. Links to Family or Junior Membership are available from the main website at https://canberrafishos.com.
Membership Type
Name

First NameLast Name
E-mail
Phone Number:

Area CodePhone Number
DOB

DayMonthYear
Date
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Emergency Contact Person

First NameLast Name
Emergency Contact Phone

Area CodePhone Number
Additional Comments
Agreement to Club Rules and ANSA Code of Ethics
CFC Junior Membership
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CFC Junior MembershipFree
CFC Junior Membership

Total $0.00 AUD

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Canberra Fishermans Club Junior Membership Registration