WSGC New Membership Form 2024-2025

New Membership Application

2024-2025 YEAR
MEMBERSHIP FEES - Please Choose one of the Following*
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Single Membership
Annual Payment 1st July to 30th June Includes Australian National Sportsfishing Association (ANSA) Membership

$60.00AUD Quantity



Family Membership
Annual Payment 1st July to 30th June Includes Australian National Sportsfishing Association (ANSA) Membership * Covers Spouse and all Dependent Children Under 16yrs

$80.00AUD Quantity



Pensioner Membership
Annual Payment 1st July to 30th June Includes Australian National Sportsfishing Association (ANSA) Membership *Available to Pensioners who hold a Current Pension Card.

$55.00AUD Quantity



Student Membership
Annual Payment 1st July to 30th June Includes Australian National Sportsfishing Association (ANSA) Membership * Available to Fulltime Students Aged 16-24

$30.00AUD Quantity



Honorary Life Member - Approved by the Club
$ FreeAUD Quantity



Total

$0.00AUD
Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

DEPENDENT DETAILS (For Family Membership Children must be under 16 yrs of age)*

Rows	Name	DOB Children
Applicant Name
Spouse
Child 1
Child 2
Child 3
Child 4

I hereby agree to abide by the rules and regulations of the Williamstown Sportfishing & Game Club Inc*
Date/Time
I acknowledge that my membership has to be ratified at the next available meeting. WSGC Inc reserves all rights to accept or decline your membership. Upon membership being declined your membership fees will be refunded.
Bank Account Details

*Include your name as reference
I have already made payment into the WSCG Bank account listed belowI will make payment within 24hours of submitting this form
Williamstown Sportfishing and Game Club

BSB 193-879 Account 431846964
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