Application Form

LRYC Membership Application

New members must complete form below to join our Club.
NEW MEMBERS: Please do not make any payments until you have received a confirmation email from the Membership Officer.
Your details

NOTE: Existing club members must complete the separate renewal form.
Name*

First NameLast Name
E-mail*
Your preferred email address
Home phone and/or
Mobile phone
Home Address*

Street Address

Street Address Line 2

Suburb/TownState

Postcode

Emergency contacts

Please indicate one or two emergency contact persons with their phone numbers.
Contact/emerg. 1*

NamePhone Number
Contact/emerg. 2

NamePhone Number
Membership Requested*

FullPensionerJuniorFamily
Further information or questions?
Family Membership indicate all other Family names here

Fees and payment details
LRYC Inc Membership Types:
- Joining Fee - $30.00 plus
- Single - $50.00
- Pensioner - $40.00
- Family - $80.00
- Junior (U/16) - $25.00
Family membership is based on 2 Adults and 2 Juniors (U/16) in the one family

Joining fee (once only) for ALL new members. If you are joining after New Year please wait to be notified of your pro-rata membership fee.

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 Benson Or (Treasurer) at treasurer@lryc.org.au to indicate that the money has been transferred to us.

THANK YOU
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 Membership Application