LRYC Membership Application Form

LRYC Membership Application

New members must complete form below to join our Club.
NOTE: Existing club members must complete the separate renewal form.
Name *

First Name Last Name
Partner's Name
Only if applicable
E-mail *
Your preferred email address
Home phone and/or
Mobile phone
Pension No:
If applying for Pensioner Membership
Home Address *

Street Address

Street Address Line 2

Suburb/Town State

Postcode
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
Membership Requested *

Full Pensioner Junior Family
Further information or questions?
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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