You can print this page out and post it, or download the PDF file, fill it out at your leisure and then post it to us.
 |
Surfers Paradise |
|
|
P 0 Box 529
Paradise Point Qld 4216 |
|||
|
|
|||
| Mr/ Mrs/ MS/ Miss | |||
| SURNAME: | Christian: | D.O.B: | Game/Dual |
| 1 | . | . | Game/Dual |
| 2 | . | . | Game/Dual |
| 3 | . | . | Game/Dual |
| 4 | . | . | Game/Dual |
| Address: | |||
| Phone: (Home) | (Business) | (Mobile) | . |
| Member of any other club/s? YES/NO | |||
| If YES, state club/s: | |||
| Have you ever been declined membership of another club? YES/NO | |||
| MEMBERSHIP CLASS: | SENIOR | JUNIOR | FAMILY | FULL FAMILY |
| ANNUAL SUBSCRIPTIONS: | |||
|
GAME ONLY
ANNUAL SUBSCRIPTIONS $140.00 Family $75.00 Senior $30.00 Junior (<16yrs) |
DUAL GAME &
Sport (ANSA) ANNUAL SUBSCRIPTIONS $220.00 Family $125.00 Senior $50.00 Junior (<16yrs)
|
||
|
INDEMNITY:
I/We, the undersigned, do hereby acknowledge that I/we have not been canvassed or coerced to join the Surfers Paradise Game & Sport Fishing Club lnc. and that I/we do so of my/our own volition and at my/our own risk. I/We further acknowledge to absolve the Surfers Paradise Game & Sport Fishing Club Inc. and/or its nominees from any liability whatsoever or however arising and to indemnify you and to keep you indemnified against all claims, damages, costs and losses that may be claimed or awarded against you or that you may suffer resulting from injury or loss to me/us or loss to any of my/our property. Further I/we, if elected, hereby agree to and be bound by the Constitution of the Surfers Paradise Game & sport Fishing Club lnc. and its By-laws. |
|||
|
Signature
of Applicant
. |
Date
|
||
| We the undersigned hereby nominate the above person 1 persons who have applied for membership of the Surfers Paradise Game & Sport Fishing Club Inc. | |||
|
Signed |
Membership No. |
Signed |
Membership No. |
|
..
. |
|||
|
Boat Registration |
|||
| Name of Vessel: | Reg No.: | ||
| Vessel Description: | |||
| Length | Hull Type: | Material: | Colour: |
| Engine/s | |||
| RADIO Type: | Freq: | Call sign: | |
|
should you wish a copy of this form e-mailed or faxed to you please contact the club or just send an email by clicking on the club logo below:
|
|||
