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

$60.00 AUD 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

$80.00 AUD 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.

$55.00 AUD Quantity



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

$30.00 AUD Quantity



Honorary Life Member - Approved by the Club
Free Quantity



Total

$0.00 AUD
Name

First NameLast Name
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
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
To become a member of the Williamstown Sportfishing & Game Club Inc your membership has to be approved.
Bank Account Details

*Include your name as reference
Payment of Membership Fees
Williamstown Sportfishing and Game Club

BSB 193-879 Account 431846964
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