Membership Form

 

SPGSFC Membership Form Download PDF

 

P0 Box 1313
Paradise Point
Queensland 4216
Australia

Application for Membership for Year ending 30th June 2014

I hereby apply for membership / to renew my membership to the Surfers Paradise Game and Sport Fishing Club. In the event of my admission/renewal as a member, I agree to be bound by the rules of the SPGSFC.

 

Mr/Mrs/Miss/other ……….SURNAME: ………………………………………GIVEN NAME: ………………………………………………..

D.O.B.: ………………………………………….. OCCUPATION: ……………………………………………………………………….

Other Immediate Family Members to be included in Family Membership (Including DOB for Juniors):

……………………………………………… …………………………………………….. ………………………………………..

HOME ADDRESS: …………………………………………………………………………………………….. POST CODE: ………………..

POSTAL ADDRESS………………………………………………………………………………………………..POSTCODE: ……………….

EMAIL: …………………………………………………………………………(very important.) FAX: …………………………

HOME PHONE: …………………………… WORK PHONE: ………………………… MOBILE: …………………………………..

APPLICANT’S SIGNATURE: ……………………………………………………………………….. DATE: …………………………………….

 

Membership Fee:

Game Fishing Family $200 = $

Adult $100 = $

Lady Fishers Associate $50 = $

Junior $30 = $

TOTAL $_________

Banking Details
NAB Account: Surfers Paradise Game and Sport Fishing Club Inc BSB: 084 913 Acct No: 490138175

 

Boat Registration Form

 

Name of Vessel………………………………………………………………… Reg No:………………………

Vessel Description………………………………………………………………………………………………

Length…………………………. Hull Type……………………………………… Material………………………………

Colour……………………..…… Engines…………………………………………………… Radio Freq: VHF 27Mhz

EPIRB:……………..Fire Extinguisher:……………………Statutory Safety Equipment: ……………………

 

Privacy Act:

All information collected by the Surfers Paradise Game and Sport Fishing Club is maintained in compliance to the Privacy Act. If you do not wish to receive mail sent out by the club or its associated business partners please contact the Club Secretary.

Indemnity

I wish to join the Surfers Paradise Game and Sport Fishing Club at my own request and volition. I acknowledge that the President or any Committee members or volunteers will not be held responsible at law by myself, my heirs, successors, executors or assignees for any loss or damage including personal injury, that I may sustain or any damage arising out of my death.

OFFICE USE ONLY:

Date Received & Checked by Secretary ……………………………………………………………………………….. Payment requested: …………………

Member No. ……………………… Payment received: …………………………………..