Online Membership Form

= required

• Email:
• First Name
• Surname
• Membership Number (Please type NEW if this a new membership)
• Postal Address
• Suburb/Town/City
• State South Australia Victoria Tasmania New South Wales Australian Capital Territory Queensland Northern Territory Western Australia
• Postcode
• Mobile Phone Number
• Email Address
• Date of Birth
• Emergency Contact Name:
• Emergency Contact Number
• Membership Type Required PLEASE READ MEMBERSHIP ENTITLEMENTS BEFORE SELECTING Full $ 95.00 Junior $ 50.00 Family 1 $105.00 Family 2 $165.00 Associate 1 $ 55.00 Single Event (1 Event only PER YEAR $ 30.00 Six Month (From 1st July) $ 60.00
• Did you apply for Family Membership? Yes No
• Extra Family Member First Name
• Extra Family Member Surname
• Extra Family Member Date of Birth
• Do you need to add an additional Family Member? Yes No
• Extra Family Member First Name
• Extra Family Member Surname
• Extra Family Member Date of Birth
• Is there another Family Member you need to add? Yes No
• Extra Family Member First Name
• Extra Family Member Surname
• Extra Family Member Date of Birth
• Do you need to purchase additional Membership Cards? ($5 each) Yes No
• Number of additional Membership Cards required
• SUBMIT