Club Membership Registration Form

KAV Membership Registration Form

Financial Year: 1 July 2023 to 30 June 2024
Select type of membership:

Individual Membership (18 to 64 years) - $30Individual Membership (65 years +) - no fee required. NB: Members must register annually.
Name

PrefixFirst NameMiddle Name (optional)Last Name
E-mail
Mobile number
Please enter a valid phone number.
Phone Number:

Area CodePhone Number
Address:

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Birth Date:

MonthDayYear

Only fill out the following if you are registering as a NEW member, or if you previously have not submitted this information.
If you are a renewing member, simply tick "I have read, understood and accepted the rules for membership" to proceed.
Place of Birth
Occupation
Please select:

MarriedSingleDe Facto
Father's name and place of birth
Mother's maiden name and place of birth
Please record your Kastellorizian connection, e.g. parent/s, grandparent/s, great-grandparent/s, spouse, partner etc:
If no Kastellorizian connection, please tick Associate Membership application

Associate Membership application
Who is nominating you for membership? Please state address.
Membership information and rules
Please click on the link below to read an overview of membership rules from the constitution of the KAV.
I hereby apply to be accepted as a member of the Kastellorizian Association of Victoria and promise, if accepted, to abide by the rules and articles of the Association.

Clear
Please note: All new membership applications are subject to approval by the KAV Committee, and will be assessed at the nearest committee meeting.

Please enter credit/debit card or PayPal details to pay for your membership registration, unless you are exempt as a senior.

If you would like to make a voluntary donation, please enter the amount in the box below.

If not, simply click 'Submit Application'.

For more information about our charitable purposes, click here.
If you are making a donation, please change the amount below to the donation amount of your choice.

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Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

KAV Membership Registration Form