SOCIAL MEMBERSHIP RENEWAL FORM

SOCIAL MEMBERSHIP RENEWAL FORM

Please fill out form correctly
Membership Renewal or New Membership
Name
Postal Address
Phone Number
Email
example@example.com
Date Of Birth

MonthDayYear
DOB
Male / Female
Do you need a new card
PLEASE ONLY FILL OUT NEXT SECTION IF YOU ARE PAYING WITH CREDIT CARD -

CONTINUE TO DECLARATION IF YOU'RE ARE GOING TO PAY AT CLUB
Because it is near the end of season you will be charged for the remainder of the current season PLUS the 2027 season

This means your membership will take you through to 30th September 2027
Please Select & Enter Quantity
prevnext( X )
SOCIAL MEMBERSHIP - End of season PLUS 2027
Please Note* A credit card fee has been added

$73.29 NZD Quantity

Total

$0.00 NZD
Additional Comments
DECLARATION

I declare that the above information is correct. I agree to abide by the Club Rules & Constitution through my entire duration of membership to the Whangarei Deep Sea Anglers Club Inc

ANNUAL MEMBERSHIPS ( 1st OCTOBER - 30th SEPTEMBER )
By selecting YES I declare that the information provided is correct & agree to the declaration above.
Should be Empty:

PLEASE ONLY FILL OUT NEXT SECTION IF YOU ARE PAYING WITH CREDIT CARD -