NEW BRITAIN GAME FISHING CLUB

NEW BRITAIN GAME FISHING CLUB

2025 MEMBERSHIP FORM
1. Name*

First NameLast Name
2. Email*
example@example.com
3. Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
4. Phone Number
Please enter a valid phone number.
5. Were you a NBGFC Member in 2024?*

YESNO
If yes, proceed to membership type (7)

If no, please have membership nomination completed (6)
6. Nominated by:
Seconded by:
7. Membership Type*

Single K80Family K120 (Please complete (8) below)Junior K25 (Please provide D.O.B. in (8) below)
8. Please list family members full names and the D.O.B. of dependents.
Our preferred payment method is by direct deposit to the NBGFC BSP account (details below).

Please reference (your_name2025Mship) when making payment for our records.

Please email remittance to nbgfc.rabaul@gmail.com

Bank Account Details

Name: New Britain Game Fishing Club

BSB: 088-964 (BSP Kokopo) | Account: 1000 058 635
Should be Empty: