Membership Form

Member Signup

The join please fill in the form below ensuring to fill in all fields correctly.

"*" indicates required fields

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This field is for validation purposes and should be left unchanged.

Name*

First Last

Address*

Street Address Suburb State Post Code

Date of Birth*

Home Phone

Mobile Phone

Email*

Emergency Contact Name*

Emergency Contact Number*

Membership Options*

Full Membership (Annual Fee $70)

Family Membership (Annual Fee $35)

Concessional Membership (Annual Fee $20)

Receive monthly newsletter, full voting rights, participate in organised activities.

Similar to Full Member but only one newsletter per household.

Only applicable to students or unemployed persons aged 14 to 24. Full membership privileges apply.

Enter name of spouse or partner who is a full member

Please enter below your occupation and any other expertise or skills that you feel may be of value to the Society.

Current Occupation*

Experience & Skills*

Past Occupation*

Joining Fee

Price:

Joining Fee

Price:

Total

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