2026 2027 JUNIOR MEMBERSHIP RENEWAL FORM

JUNIOR 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
2 digit month, 2 digit day, 4 digit yearDOB
Male / Female
Do you need a new card
PLEASE ONLY FILL OUT NEXT SECTION IF YOU ARE PAYING WITH CREDIT CARD -
Please Select & Enter Quantity
prevnext( X )
JUNIOR MEMBERSHIP - End of season PLUS 2027
Please Note* A credit card fee has been added

$26.04 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:

JUNIOR MEMBERSHIP RENEWAL FORM