• MEMBERSHIP FORM

  • Membership Type*

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            Veteran Member (70+)

            Aged 70+

            $75.00 AUD$75.00AUD
            Item subtotal:$0.00 AUD$0.00AUD
              
            Adult Member (18+)

            Aged 18+

            $95.00 AUD$95.00AUD
            Item subtotal:$0.00 AUD$0.00AUD
              
            Cadets

            Aged 15-17

            $55.00 AUD$55.00AUD
            Item subtotal:$0.00 AUD$0.00AUD
              
            Junior Member

            Aged 4-14

            $25.00 AUD$25.00AUD
            Item subtotal:$0.00 AUD$0.00AUD
              
            Total
            $0.00 AUD$0.00AUD

            Credit Card
          • *
          • Date of Birth*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Date of Birth (2nd Member)*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Address*
          • Date of Birth (3rd Member)*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Address*
          • Date of Birth*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Date of Birth (2nd Member)*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Address*
          • Date of Birth (3rd Member)*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Address*
          • Date of Birth*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Address*
          • Date of Birth (2nd Cadet)*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Address*
          • Date of Birth (3rd Cadet)*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Primary Yearly Competition *
          • Address*
          • Date of Birth*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Date of Birth*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Emergency Contact*
          • Date of Birth*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Emergency Contact*
          • Date of Birth*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Emergency Contact*
          • Date of Birth*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Emergency Contact*

          • I,     *   * , hereby submit my application for membership in Rainbow Beach Amateur Anglers fishing club and agree to abide by the Constitution and By-laws of the club.

          • *
          • Date Submitted*
             - -
            2 digit day, 2 digit month, 4 digit year
          • Should be Empty: